Job Description
Job Description Job Description o Prepare and submit medical claims to insurance companies (electronic and paper) o Verify patient insurance eligibility and coverage o Review patient charts for accurate coding and billing information o Post payments from insurance companies and patients o Follow up on unpaid, denied, or rejected claims o Work claim denials and submit appeals when necessary o Commu
7:30 AM
Log in and pull the overnight denial queue. Your worklist shows 40–80 claims flagged by the payer in the last 24 hours. Sort by do…
8:00 AM
Start working the queue. For each denial, you're reading the remittance advice, identifying the denial reason code (CO-4, CO-50, C…
9:30 AM
Hit a complex medical necessity denial from a Medicare Advantage plan. Open the patient chart, pull the clinical documentation, an…
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