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Responsibilities:
- Resolve aged claims and appeals without payer responses.
- Identify claims that need a first, second, or third level appeal.
- Assist teammates with projects and denial work queue management.
Denials and appeals:
- Prioritize an assigned work queue to ensure timely work is balanced with working the most payable claims.
- Identify non-payment trends and escalate groups of claims to Payer Dispute Resolution or Market Access teams.
- Investigate denial and non-payment trends identified by the Revenue Cycle Analytics team.
Qualifications:
- High school diploma or equivalent.
- 3-5 years’ experience in medical billing.
- Working knowledge of health insurance and terminology.
CareDx, Inc.
CareDx, Inc. is focused on providing healthcare solutions for transplant patients and caregivers. They are the leading provider of genomics-based information for transplant patients.