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Review, analyze, and perform necessary timely actions for both primary and secondary claims follow up including rejections, denials, adjustment billing, and reconciliation of final payment. -
Extensive knowledge in rejected and denial reason codes to perform accurate claim submission focused to primary care services. -
Extensive knowledge of resident insurance coverage, performs and accurately interrupts insurance eligibility verifications. -
Can utilize payer portals, send appeals, and interpret payer information as it pertains to revenue cycle/billing functions.
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