- Conduct online medical research of Motor Vehicle Accident and Health Insurance claims.
- Research, request, acquire, and review medical records, provider notes, and explanation of benefits.
- Contact payers for claim status, perform rebilling, and escalate issues to resolve outstanding balances.
- Resolve denied claims by submitting corrected claims and filing appeals.
- Communicate with clients, patient attorneys, and insurance companies to facilitate claim adjudication.
- Review and analyze health insurance remittance to ensure proper claim adjudication.
- Identify and alert leadership of denial trends to assist in denial prevention.
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