Raymond Brodie

Follow up on the status of submitted claims via Navinet and other insurance portals.

Initiate negotiations and Arbitrations with insurance carriers under the No Surprise bill Act [NRA].

Review and correct rejected claims.

Confirm that EOBs and ERAs received paid correctly per contract.

Follow up with Attorney offices regarding the status PIP claims.

Correct CPT and ICD 10 codes on denied claims and submit as corrected claim.

Identify and track denial trends..

Conducted AR follow up on medical claims for multi specialties using Navinet and other insurance portals.

Reviewed overpayment requests from insurance carriers.

Provided medical records via insurance portals to ensure correct payment.

Assisted patients with insurance inquires and processed patient. payments.

Reviewed Denials and submitted appeals to carriers.

Initiated peer to peer reviews.

Reviewed any take backs from insurance carriers.

Provided support to 3rd party billing company.

Reviewed all denials. Submitting Appeals and correcting any CPT / ICD 10 codes.

Contacted patients on any COB issues.

Generated and mailed statements to patients for any patient responsibility.

Assisted patients and providers requesting medical records.

Posted patient payments.

Confirmed payments received from insurance carriers were correctly paid per contract.