KEY RESPONSIBILITIES:
- Completes timely claim submission, denial management, payment variance, and accounts receivable resolution.
- Imports, edits, corrects and transmits hospital claims on a daily basis.
- Ensures activity is fully documented related to claim submission, follow-up and resolution in hospital systems.
- Investigates and/or refers to management systemic billing issues that cause delays in reimbursement.
- Identifies administrative denials by working denial work-items and through remittances; follows through with appeal or corrective action to obtain claim payment.
- Applies payor acceptance reports and 277 reports to manage payor rejections and take appropriate action for resolution.
- Applies appropriate HOLDS and subsequently releases claims based on billing requirements, coding needs and data deficiency.
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Maryland Workforce Exchange - Maryland.gov
https://mwejobs.maryland.gov
C
City of Baltimore, Mayor's Office of Employment Development