Review patient medical records to determine why claims are denied and prepare compelling appeal arguments using clinical evidence and regulatory guidelines.
Search for supporting evidence and analyze insurance denial trends to provide feedback to hospitals and executive leadership.
Ensure compliance with HIPAA regulations and demonstrate excellent written communication skills in crafting appeal letters and hearing testimony.
PAM Health provides specialty healthcare services through over 70 long-term acute care hospitals, rehabilitation hospitals, wound clinics, and outpatient physical therapy locations in 17 states. With a collaborative culture and a focus on compassionate care, the company employs a dedicated team committed to high-quality patient outcomes and professional growth.
Prepares and submits hospital, physician, and clinic claims to third-party insurance carriers electronically or by hard copy.
Follows up with insurance carriers on unpaid claims and secures needed medical documentation.
Processes rejections by correcting billing errors and resubmitting claims to insurance carriers.
TruBridge provides innovative solutions that support the financial and clinical sides of healthcare delivery, connecting providers, patients, and communities. They foster a remote team culture that encourages pushing boundaries and thinking differently.