UnitedHealth Group
Job Location :
Norristown,PA, USA
Posted on :
2025-01-21T18:10:53Z
Job Description :
Analyzes and applies denials to third party carriers in all media types. Complies with departmental Business Rules and Standard Operating Procedures. Focuses efforts on decreasing the Accounts Receivable, increasing cash, and / OR reducing bad debt. Interprets explanation of benefits for appropriate follow up action. Utilizes automation tools to verify eligibility, claim status and / OR to obtain better billing information. Creates worklist through Access database and manipulate data to analyze for trends and resolve claims for adjudication. Reviews and researches denied claims by navigating multiple computer systems and platforms, in order to accurately capture data/information for processing. Communicates and collaborates with members or providers to evaluate claims errors/issues, using clear, simple language to ensure understanding. ? Conducts data entry and re-work for adjudication of claims. Works on various other projects as needed. Meets the performance goals established for the...Billing, Representative, Remote, Microsoft, Health, Data Entry, Technology, Healthcare
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