Job Description
BASIC FUNCTION : Position reviews reimbursements from carriers, determines denial classifications and develops justifications for making billing changes to improve and increase revenue flow for the Seneca Nation Health System (SNHS). Routinely monitors accounts receivable to identify and resolve billing discrepancies. GENERAL RESPONSIBILITIES: Monitors changes in medical insurance industry and adj
8:00 AM
Pull your AR worklist. Claims are sorted by payer, days in AR, and dollar amount. Priority: anything over 60 days old and over $1,…
8:30 AM
Work a batch of Medicare claims stuck in 'processing' status. Log in to the Medicare FISS portal, check claim status on each one.…
9:30 AM
Call the Cigna provider line for a claim that's been in process for 45 days. On hold for 18 minutes. The rep tells you the claim w…
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