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Annapoorna
American Contractor Services - Crescent Springs, KY - Summary: Primarily responsible for thorough review of managed care contracts and comparison of such contracts against healthcare claims to identify underpayments for the assigned client. Responsibilities: * Research, communicate and educate others on coding changes that impact reimbursement * Identify areas of opportunity that occur as a result of a coding or billing error * Review insurance contracts to gain thorough understanding of payment methodologies * Examine claims and calculate... payors, clients, managers and other personnel * Support and direct claims to all departments and client onsite analysts * Build strong, lasting relationships with clients, payors and personnel * Attend client, department and company meetings * Comply with federal and state laws, company and department policies and procedures Qualifications: * Minimum 2-years of experience working with hospital claims in some capacity * Familiarity with hospital billing guidelines and requirements * Knowledge...
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