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Associate - Business Analyst-Back Office-Claims Medical Bill Review
- Review and analyze the assigned outstanding receivables portfolio to identify unresolved claims.
- Manage and resolve outstanding and denied claims by coordinating effectively with insurance companies.
- Follow up promptly to obtain additional information required for claim resolution.
- Ensure all claims are resolved within established timelines and adhere to defined Service Level Agreements (SLAs).
- Perform website checks and handle non-callable denials to optimize receivables recovery
- Resolve/Fix the edits and rejections in the PMS and clearing house
- Track rejections and edit trends and fix the reoccurrence
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