Ingenious Philippines is hiring! We are looking forMedical Codersto be part of our Denials Management team inAlabang, Ortigas and Clark!
Qualification:
- Must have have an active AAPC or AHIMA License
- Experience in OP coding, Claims, Denial Management
- Profee coding experience
- Amenable to onsite work and night shift
Responsibilities:
- • Research payer denials related to referral, pre-authorization, notifications, medical necessity, non-covered services, and billing resulting in denials and delays in payment.
- • Independently write professional appeal letters.
- • Submit detailed, customized appeals to payers based on review of medical records and in accordance with Medicare, Medicaid, and third-party guidelines as well as UW Health policies and procedures.
- • Submit retro-authorizations in accordance with payor requirements in response to authorization denials...