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Follow up with insurance companies on denied claims through internal/client workflows
Inspect patient documentation including authorization, nursing notes, medical documentation on client's systems, etc. and interpret the explanation of benefits ahead of conducting follow up
Work towards optimizing key metrics such as days in A/R and collections rate, while keeping accurate records of all actions taken, insurance documentation and call notes to maintain a clear audit trail
Analyze accounts receivable data to understand reasons for underpayment, denials and excessive days in A/R and document these using appropriate codes
To be consid...