Job Description

  • Process claims in accordance with payer regulations, medical authorizations, protocols, and

departmental guidelines

  • Investigate and resolve claim denials and rejections using payer resources, clearinghouse
  • tools, and internal documentation
  • Identify, research, and analyze trends in submitted claims to develop actionable resolutions
  • Provide timely and professional support via email using a ticketing system to resolve

customer inquiries

  • Assist customers with setup and navigation of billing platforms, software tools, or other

program features as needed

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