Job Description

Review denied and underpaid claims using EOBs (Explanation of Benefits) and Remittance Advice (RA) Identify the reason for denial—coding errors, authorization issues, eligibility, timely filing, etc. Document all actions taken in the billing software Required Candidate profile 3-5 yrs of exp in U.S. Healthcare AR / Denial Mgmt Knowledge of U.S. insurance types: Medicare, Medicaid & commercial payers CPT, ICD 10, HCPCS codes RCM tools & billing platforms HIPAA compliance.