- Graduate with 1-5 years’ experience in the US health care industry (HB or PB – HB preferred).
- Ability to read and interpret the insurance explanation of benefits (EOBs
- Knowledge of payer edits, rejections, rules, and how to appropriately respond to each.
- Accuracy in identifying the cause of rejections/denials and selecting the most appropriate method for resolution.
- Demonstrated proficiency with timely and successful appeals to insurance companies
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