Revenue Cycle Specialist
Guidehouse
3 2020 - Current
- Post payments , contractual adjustments and write offs in accordance to policies and procedures.
- Research payment variances and determine accuracy of reimbursement based on contract terms , fee schedules and summary of plan documents.
- Submit appeals and compile necessary supporting documentation to ensure proper processing and payment reimbursement.
- Bi-weekly meeting with clients to evaluate claim denial trends and A/C over 90 days.
- Validate denial reasons, billing errors, payor rejections and follow-up work queues.
