01Key Responsibilities
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- Perform follow-up on CO-11 (medical necessity) denied claims.
- Contact insurance carriers through phone calls and payer portals to obtain claim status updates.
- Investigate and resolve unpaid, pending, and denied dermatology claims.
- Analyze denials and identify diagnosis-to-procedure (CPT, HCPCS, and ICD/DX) mismatches.
- Correct and resubmit claims or route accounts for appeal in accordance with payer guidelines.
- Maintain established productivity, quality, and turnaround time standards.
Preferred candidate profile:-
- Minimum 1 years of experience in Medical Billing or AR Follow-Up.
- Proven experience handling CO-11 (Medical Necessity) denials.
- Strong knowledge of physician billing, commercial insurance, Medicare, and Medicaid processes.
- Experience with EMR/billing systems; familiarity with eClinicalWorks (ECW) is preferred.
Perks & Perks:-
- 5 Days Working.
- A pick & drop facility in available(in selected hiring zone) and for self-commuters, Travelling allowance will be given.
- Meal Facility.
Contact Details - Navneet(8700570163), Amit (7678602048), Jagriti (7838422964), & Kanchan (8929989912) from 10:00AM to 8:00PM. (Monday to Saturday). .
