Accurately adjudicate claims in compliance with data entry rules, policies, and contractual agreements.
Communicate effectively with insurance companies to handle inquiries and streamline the claims process efficiently.
Coordinate with the physicians for accurate clinical documentation to avoid insurance rejection and minimize denials. Provides feedback regarding coding errors and oversight.
Ensures coding follows DHA guidelines and regulations.
Prepare statistical and analytical reports of coded data for facility administration and improvements.
Ensures timely submission of medical claims to insurance companies by obtaining referrals and pre-authorization. Reviewing patients’ bills for accuracy.
