Healthcare Accounts Receivable Expert
18 hours ago
About Us:
HRMD Solutions is a leading provider of revenue cycle management services to healthcare organizations in the USA. We are committed to delivering high-quality services that meet the needs of our clients.
- Our Team:
- We have a team of experienced professionals who are dedicated to providing excellent service to our clients.
- We are committed to delivering high-quality services that meet the needs of our clients.
Key Responsibilities:
- Verify patient eligibility and benefit verification through calls and web portals.
- Review and verify medical codes, including CPT, ICD-10, and HCPCS.
- Transmit corrected claims electronically or by paper according to payers' requirements.
- Monitor and follow up on unpaid or denied claims to ensure timely resolution.
- Contact insurance companies to inquire about claims status and facilitate payment.
- Review aging reports regularly to prioritize and address delinquent accounts.
- Initiate appeals for denied or underpaid claims and track the appeal process.
- Develop denial management strategies to minimize future denials.
- Maintain detailed records of appeals.
- Understand insurance policies, reimbursement methodologies, and billing guidelines.
- Collaborate with billing and coding teams to address recurring issues.
- Investigate and resolve discrepancies in payments, adjustments, or denials.
- Identify claim processing issues and general billing trends.
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