Opportunity Description
Description
Day to day responsibilities:
Work out of EPIC work ques or an ATB report which is an Aged Trial Balance report to hit aged accounts more quickly (once aged accounts are achieved they will go back to work ques)
Work high dollar accounts first, work down from there- organizing their report
They will sort by age of claims first and work accounts from oldest to newest
Go through the accounts to see what is paid, what is denied and then start working from there
Working denials
If they need a medical records request they will request it from medical records and then load it onto the provider portal
Reaching out to insurance companies to figure out why there are denied claims
Getting with the patients to update coordination of benefits
Anything that needs to be done to get claims paid
Need to analyze trends to see if there are constant reasons why something continues to get denied and work with manager on this so they can fix it moving forward ...
Day to day responsibilities:
Work out of EPIC work ques or an ATB report which is an Aged Trial Balance report to hit aged accounts more quickly (once aged accounts are achieved they will go back to work ques)
Work high dollar accounts first, work down from there- organizing their report
They will sort by age of claims first and work accounts from oldest to newest
Go through the accounts to see what is paid, what is denied and then start working from there
Working denials
If they need a medical records request they will request it from medical records and then load it onto the provider portal
Reaching out to insurance companies to figure out why there are denied claims
Getting with the patients to update coordination of benefits
Anything that needs to be done to get claims paid
Need to analyze trends to see if there are constant reasons why something continues to get denied and work with manager on this so they can fix it moving forward ...