Follow-up with insurance payors on rejected or underpaid claims and initiate claim reviews where appropriate
Job Summary
Follow-up with insurance payors on rejected or underpaid claims and initiate claim reviews where appropriate.
Ability to understand insurance denial codes and take corresponding action to resolve the denial, along with knowledge of insurance registration and payor websites.
Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical, dental, vision, and retirement plans.
Matching Summary
Follow-up with insurance payors on rejected or underpaid claims and initiate claim reviews where appropriate.
Skills & Requirements
Must-have
Follow-up on rejected/underpaid claims
Resubmit claims with modifications
Understand insurance denial codes
Verify patient eligibility
Meet weekly productivity standards
Experience with Epic follow-up system
Nice-to-have
Good communication skills
Flexibility to work in a team
Accept special projects
Key Requirements
High school degree or GED equivalent
Two to three years accounts receivable/billing experience
Experience in insurance claims processing
Preferred knowledge of third party rules and regulations
Knowledge of ICD-10 and CPT coding preferred
Experience in Epic billing system highly desirable