Omega

Essential Job Functions Analyzes, investigates, and resolves account issues, including resubmitting and updating line and claim document information. Accesses available resources to locate missing or incorrect information. Updates medical claims with corrected billing information and releases claims for transmission to the payer. Investigates and documents actions taken to resolve medical billing discrepancies and unusual charges and credits. Works high priority Third-Party Liability/MVA/WC cases according to department policies and procedures. Conducts research to make the determination of related paid claims for subrogation cases, which includes identification and validation of TPL/MVA/WC claims cost avoidance. Receives and responds to incoming correspondence and calls pertaining to TPL/MVA/WC verification, billing, and collections inquiries from various sources. Evaluates case status based on established criteria and takes appropriate action...