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Job Description
- Monthly reconciliation with third-party payers.
- Work closely with third-party payers in reducing medical-related rejections by providing the required medical justifications.
- Submit weekly reports for rejections reasons and amounts per account.
- Provide detailed feedback to Medical, Operation, and Billing teams on common errors.
- Works towards improving medical claim quality to reduce rejections.
- Provide education to other healthcare professionals regarding correct documentation.
Job Requirements
- Must have a bachelor's degree in Medicine.
- Medical Insurance companies background.
- Experience not less than 3 years.