Hiring certified Medical coders with Denial @ Primera Medical

Job Description

Roles and Responsibilities

• Research payer denials related to pre-authorization and referrals and billing resulting in denials and delays in payment. Initiate appeals with insurers appropriately.
• Submit detailed, customized appeals to payers based on review of medical records and in accordance with Medicare, Medicaid, and third-party guidelines as well as Federal/State Insurance Policies and Procedures.
• Identify denial patterns and escalate to management as appropriate with sufficient information for additional follow-up, and/or root cause resolution.
• Make recommendations for additions/revisions/deletions to work queues and claim edits to improve efficiency and reduce denials.

Desired Candidate Profile

• Graduation/Postgraduation from Life Science/Pharmacy with Medical coding certification.
• Good knowledge in denial scenarios.
• 2-3 Years experience in Coding (Surgery/ Anaesthesia /Observation/ ENM OP / ED profee).
• Good computer skills with typing skill of 30 WPM with 95% accuracy.
• Good Knowledge in clinical indicators.
• Good knowledge in Insurance Guidelines.
• Experience with medical and insurance terminology, CPT, ICD coding structures, and billing forms (UB-04).

Pls send your resume to rg********i@pr************e.com or whatsapp your cv's to 7987580***

Job Classification

Industry: Medical Services / Hospital
Functional Area: Healthcare & Life Sciences,
Role Category: Health Informatics
Role: Health Informatics
Employement Type: Full time

Education

Under Graduation: B.Sc in Any Specialization, B.Pharma in Any Specialization
Post Graduation: MS/M.Sc(Science) in Computers
Doctorate: Doctorate Not Required

Contact Details:

Company: PrimEra Medical
Address: 1-98/9/6/MT/9-A,B and C,9TH FLOOR,MELANGE TOWER,NO, . 23/37,MADHAPUR, Hyderabad, Telangana, India
Location(s): Hyderabad

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Keyskills:   CCS CPC Denial Management Medical Coding