Job Title This position is responsible for managing the appeal of unpaid claims in the Central Business Office. This position will also work closely with insurance carriers in resolving unpaid claims. Job Responsibilities
Review and appeal unpaid claims daily. Completes follow-up work on appealed claims. Works with insurance carriers on appeal issues. Provides feedback to the coding department with coding errors or updates. Reviews remit to ensure accurate payment was received. Reviews denials for accuracy. Obtains all necessary information to expedite the appeal process. Closes and prints daily batch proof. Makes charge corrections as needed in the practice management system. Attends continue education programs for coding. Other duties as assigned.
Education
High School education or GED required. Must have and maintain Certified Professional Coder (CPC) certification through AAPC or must have and maintain CCA, CCS or CCS-P certification through AHIMA.
Experience
3 years of prior coding experience, preferred. Prior experience working with medical insurance.