Senior Resubmission Officer
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Key skills for this role
About the Role
Analyze and correct denied insurance claims, ensuring compliance and effective communication with teams, requiring coding certification and proficiency in medical coding.
Key Skills for This Role
Full Job Posting
Overview
To ensure that denied, rejected, or underpaid insurance claims are corrected and resubmitted accurately and promptly to maximize reimbursement for healthcare services
Responsibilities
- The post holder will:
- Analyze the rejections
- Clarifying the Rejection queries to the Insurance Company
- Doing Resubmission production for assigned facility with quality.
- Sharing rejection feedback to the Submission team
- Sharing rejection feedback to the Approval team
- Sharing rejection feedback to the reception team.
- Facilities doubt clearing (Coding, insurance Queries)
- Monthly team meeting in sharing the ideas regarding insurance rejection.
- Sharing rejection updates to medical auditor to share with respective doctor.
- Supporting submission team for their queries
- Providing justification for reconciliation claims.
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