Job Summary
A company is looking for a Follow Up Associate, Commercial.
Key Responsibilities
- Investigate and examine denied medical claims using knowledge of medical terminology, diagnostic and procedure codes, and commercial insurance
- Read and interpret expected reimbursement information from EOBs and understand legal parameters related to state and federal law
- Collaborate with internal and external stakeholders to resolve unpaid claims and obtain necessary information promptly
Required Qualifications
- High school diploma, GED, or equivalent
- Work experience in a hospital setting with knowledge of health insurance and medical claims billing
- Ability to learn new processes and make informed, complex decisions
- Experience working both independently and as part of a team
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