Huntsville, TX30+ days ago
Identify and resolve recurring provider/clinic-specific claim delays: registration demographic profile, eligibility and Iplan assignment, authorization/pre-certification/referrals, medical necessity and/or ABN, charge entry and coding accuracy. Resolves daily billed claim edits and rejections: target Clean Claim rate of 95% or greater: Resolution of Electronic Billing System (EBS) client, payer, and/or clearinghouse acceptance and rejection reports.