Patient Access Representative III - Hilton Head Island, SC

Only for registered members Hilton Head Island, SC , United States

1 month ago

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Job summary

This job is responsible for validating dispute reasons following Explanation of Benefits (EOB) review and generating appeals for denied or underpaid claims.

Responsibilities

  • Validate denial reasons and ensures coding in DCM is accurate and reflects the denial reasons.
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  • Generate an appeal based on the dispute reason and contract terms specific to the payor.
  • ,
  • Escalar agotados esfuerzos por apelaciones para resolverlas.
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  • Follear proyectos pagadores según lo dirigido
  • ,

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