The Supervisor, Denials and Appeals is responsible for leading a team focused on resolving complex claim denials and managing insurance appeals, pivotal in driving efficiency and productivity of the team and ensuring accurate reimbursement.
Manage the full lifecycle of prior authorizations (PAs) for medical services. Responsible for timely submission, meticulous follow-up, and effective resolution of all prior authorization requests and subsequent appeals. Critical in ensuring patients receive necessary services without delay and in maximizing reimbursement for the practice.
The Coding and Billing Specialist (Care Center Biller) is responsible for complete, accurate and timely processing of all designated claims, reviewing and responding to daily correspondence from physician practices in a timely manner, and providing information as requested or properly authorized. This person has strong follow up skills, attention to detail, a solutions focused mindset, and a driving work ethic.