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Review and audit medical claims to ensure accuracy and compliance
Resubmit rejected claims after necessary corrections and validation
Ensure billing is done in accordance with agreed price lists and insurance provider manuals
Keep billing officers informed of claim rejections and ensure corrective actions are implemented to prevent recurrence
Coordinate with treating physicians to obtain justification for rejected claims and prepare them for resubmission
Submit claims with accurate coding and correct format to insurance companies within stipulated timelines