You will be responsible for working electronically rejected and denied insurance claims for US healthcare clients, identifying root causes of denials, and driving timely reprocessing and appeals through non-voice channels. You will follow up with payers via portals and clearinghouses to prevent claim write-offs, analyze CPT and modifier code issues, resolve pending AR aging accounts, and ensure strict adherence to HIPAA compliance and client-specific TAT metrics.

• Follow up with payers on claim status through portals and clearinghouses to prevent claims from being written off.

• Review and analyze electronically rejected or denied insurance claims using client portals, clearinghouses, and payer websites, without making outbound collection calls.

• Identify root causes of denials from US insurance payers (Medicare, Medicaid, and commercial insurers) by reviewing CPT and modifier codes.

• Correct claim errors, attach required medical records or documentation, and resubmit claims via non-voice/portal channels for timely reimbursement.

• Work on pending accounts receivable (AR) aging reports to recover maximum allowable revenue.

• Maintain HIPAA compliance and strictly adhere to client-specific medical billing guidelines and turnaround time (TAT) metrics.