Rcm Reimbursement Specialist
Current• Responsible for insurance payment posting, denials management, appeals, and A/R follow-up for assigned accounts • Researches and analyzes denial data and coordinates denial recovery responsibilities. • Identifies, analyzes, and researches frequent root causes of denials and reports to management with possible action plans for resolution. • Prioritizes activities to work denials and AR in a strategic manner to avoid untimely filings. • Monitors insurance carrier networks issues (ex OON) and underpayments • Demonstrates a good working knowledge of CPT, ICD10, and HCPCS codes as well as remaining current on regulatory coding changes. • Leverages web portals, phone/fax communication, forms, and any other means necessary for denials and AR follow up • Ability to review and interpret clinical documentation/med records as it pertains to coding accuracy and support for claim reconsiderations and appeals