Champaign, Illinois20 days ago
Utilizes clinical applications, payer websites and other systems as a research tool to retrieve medical documentation, patient eligibility information, billing guidelines, patient referrals, and hospital or procedure code authorizations to substantiate corrected claims submissions, through written appeals, and coding reviews, etc. In addition, follows up on outstanding receivables; completes basic appeals; answers, documents and completes inquiries from, insurance companies, internal departments, and 3rd party payers.