Supports tracking and reconciliation of communication requests from external parties.
Determine appropriate responses based on investigation of dispute to formulate an appropriate response.
Supports tracking and reconciliation of case reviews/disputes.
Conducts research to ensure practices are compliant with the Federal IDR process.
Requirements
Associate’s degree in healthcare, legal or paralegal studies or business preferred.
3-5 years’ experience working with medical billing, claims, appeals, coding, legal, paralegal, customer service, insurance verification, and medical records.
Strong analytical and organizational abilities.
Proficient in Microsoft Office Suite, especially Excel (pivot tables, formulas, data analysis).