Submission & Resubmission Officer

Accurately uploading and verifying claims documentation, coordinating with medical coders to resolve discrepancies, generating status reports, and ensuring timely escalation of issues

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Upload claims documents and data into the claims management system accurately and promptly.

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Verify accuracy of claim forms and related documentation before uploading such as checking the card number with given formula, verifying the TPA / Policy is entered correctly and if any Dummy approval was entered.

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Coordinate with Medical Coders to resolve discrepancies or missing information.

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Assist in generating reports related to claims status and data uploads.

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Identify and escalate issues related to claims documentation or data entry to the supervisor.

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Perform other administrative duties related to claims processing as assigned.

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College Diploma - Any discipline or related fields.

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with AAPC coding certificate