SlingShot Connections
Monterey, CA, USA
Job Description Job Description KEY RESPONSIBILITIES & DUTIES: Research and resolve all types of denials efficiently and accurately, which includes but not limited to coordination of benefits (COB), insurance eligibility, coding (e.g., modifiers, diagnoses, edits), billing (e.g., NPI, POS, DOS). Research and resolve insurance and patient credits timely and accurately. Follow insurance appeal standards or protocols, establish an appeal correspondence to petition the denial as incorrect or inappropriate and for the third-party carrier to reconsider and adjudicate the claim correctly. May inquire with assigned coder for education or letter of appeal, if outside the scope of the AR Specialist. Document all actions and communications taken regarding each account/session/encounter in the designated fields in the practice management system (PMS). Identify and track denial trends by payer, provider, and code. Identify billing-related issues and...