Keywords
Skills
US Healthcare claim life cycle, functioning, different types of carriers, payment mechanisms, types of contracts and revenue cycle management (RCM).
Knowledge on claims processing, claims adjudication, reprising and contractual adjustments.
Immense knowledge on Medicare, Medicaid and Blue cross Blue shield claims.
Knowledge on patient demographics, charge posting and receipt posting.
Sound knowledge on Clearinghouse rejections.
Good at Online systems like Kentucky Medicaid, Indiana Medicaid and Navinet
Handled various specialties including ED, Internal Medicine and Anesthesiology
Knowledge on Workers compensations, No-fault, CLIA# and PCP related denials.
Knowledge on claims processing, claims adjudication, reprising and contractual adjustments.
Immense knowledge on Medicare, Medicaid and Blue cross Blue shield claims.
Knowledge on patient demographics, charge posting and receipt posting.
Sound knowledge on Clearinghouse rejections.
Good at Online systems like Kentucky Medicaid, Indiana Medicaid and Navinet
Handled various specialties including ED, Internal Medicine and Anesthesiology
Knowledge on Workers compensations, No-fault, CLIA# and PCP related denials.
Project history
Mapping client’s requirements; assisting in enhancing the efficiency and effectiveness of client’s revenue generation cycle, Liquidation of AR
Identifying the trends in denials and taking necessary actions for reducing the denials.
Applying payer processing policies to each and every denial claim to determine whether the claim will be paid or returned for further review.
Preparing the Aged AR reports – Insurance as well as Doctor wise for prioritizing the bucket age of the claims.
Handled Clearinghouse rejections and Carrier rejections – Fast Claims process.
Handled Receipt posting process and worked on EFT payments.
Identifying the trends in denials and taking necessary actions for reducing the denials.
Applying payer processing policies to each and every denial claim to determine whether the claim will be paid or returned for further review.
Preparing the Aged AR reports – Insurance as well as Doctor wise for prioritizing the bucket age of the claims.
Handled Clearinghouse rejections and Carrier rejections – Fast Claims process.
Handled Receipt posting process and worked on EFT payments.
Local Availability
Only available in these countries:
India
Weekly 20Hrs
Other
Area of Exposure:
Operations
Process Management
Quality
Operations
Process Management
Quality
