Claims Resolution Specialist - Opelousas
Only for registered members Opelousas, United States
1 month ago
Job Summary
The Claims Resolution Specialist plays a key role in ensuring accurate and timely reimbursement by validating denial reasons, researching payer policies, and generating effective appeals.Responsibilities
- Review and validate denial reasons against Explanation of Benefits (EOB) and ensure coding accuracy in collaboration with the HIM department.
- Submit appeals in compliance with payer-specific requirements and escalate unresolved cases for further action.
Job description
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