US healthcare medical billing
Experience: 5 - 10 years
Worked with a huge US healthcare company as a provider services representative for claims, benefits, and insurance for 3 years. Worked for a third party billing company for 5 years as an AR specialist [Denial Management, Payment, EOB verification]. In short, I've been at both ends of the line.
Experience: 1 - 2 years
Review and verify healthcare providers' licenses, certifications, education, and work history Ensure timely submission and approval of credentialing applications Maintain accurate and up-to-date credentialing records in compliance with regulatory standards Track expiring credentials and ensure timely renewals Monitor compliance with healthcare laws, regulations, and internal policies Maintain provider data in credentialing databases and generate status reports Analyze claim denial trends related to credentialing and eligibility issues Collaborate with billing teams to resolve verification-related denials Recommend improvements to front-end verification and credentialing processes
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