- Responsible for analysing and interpreting trends associated with insurance denials and appeals to effectively managed reimbursement and build strategies for mitigating future denials.- Analysing the root cause of insurance denials and giving permanent solution.- Researches credit balances providing feedback and/or prepares refunds for approval by supervisor.- Managed clearing house rejections and insurance rejections.

- Actively maintained up-to-date knowledge of applicable state and federal law & regulation for billing and appeals.- Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference.- Expert in medicare and medicaid appeals.

- Communicates efficiently with the data validation, electronic health records (EHR) and clinical departments to attain the common goal of processing clean claims and maintain a low account receivable balance.- Managed clearing house rejections and insurance rejections.- Verifying patient eligibility and benefits via insurance web portal and IVR.