Medical Billing Associate / Denial Management Specialist

Analyzing and reviewing data given by the clients Analyzing and resolving prompts from the emulators Analyzing the data if correct and input to database Analyzing CPT codes, Modifiers and ICD10 codes Requesting medical records for the patient Resolving coordination of benefits Updating the assigned claims and deliver to the client Resolving the newborn claims Searching and updating the data of the patient's physician Paying and denying claims

Submitting electronic claims to the correct insurance/payer Analyzing the patient primary and secondary insurance Identifying denied claims through denial code / ERA and EOB Submitting Corrected claims of the patient to bill it correctly Submitting Reconsideration letter, Appeal Letter to the insurance of the patient Reviewing and arranging dx code base on the services of the patient Follow up for the medical records of the patient Clarify via outbound call why the patient got denied and submit a corrected claim to resolve the denial issue