Hire Mrs. Judith Santos - Medical Biller/Clinical Denial Specialist In Philippines

Are you looking to hire a Mrs. Judith Santos - Medical Biller/Clinical Denial Specialist In Philippines? Our Marketplace has over 200,000+ virtual assistants ready to assist you! Starting at $3 an hour or $400 per month, these cost-effective virtual assistants are ready to help you grow your business!
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Judith M.

$480/Month

Philippines

Member since:

Last logged: ago


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Mrs. Judith Santos - Medical Biller/Clinical Denial Specialist

4.5

I am a medical biller and clinical denial specialist passionate about processing insurance claims, identifying and resolving billing discrepancies. I am also responsible for managing claim denials related to referral, authorizations, notifications, noncoverage, medical necessity, and others as assigned. Some of the tasks I am able to perform are the following: 1. Claims Review and Verification 2. Claims Adjudication 3. Denial Management 4. Appeals Management 5. Coordination with Healthcare Providers 6. Payment Posting and Reconciliation 7. Claims Reporting and Documentation 8. Compliance and Regulatory Adherence 9. Customer Service and Member Interaction 10. Fraud Detection and Prevention 11. Coordination of Benefits (COB) 12. Claims Review and Evaluation 13. Clinical Guideline Application 14. Denial Decision Making 15. Clinical Denial Management 16. Appeal Review and Resolution 17. Collaboration with Internal Teams 18. Utilize Clinical Software and Tools 19. Regulatory Compliance and Policies 20. Claims Auditing and Fraud Prevention 21. Training and Education 22. Continuous Process Improvement 23. Customer Service Support (for Policyholders)

EXPECTED SALARY AVAILABILTY EDUCATION EXPERIENCE
$480/Month Full-Time Bachelor 4 years
EXPECTED SALARY AVAILABILTY
$480/Month Full-Time
EDUCATION EXPERIENCE
$Bachelor 4 years

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