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Piedmont Henry Hospital Case Study

Satisfactory Essays

• Organized and reviewed technical/administrative denials for all payer’s and targeted problem areas which affected claims payments.
• Performed research regarding health insurance denials, such as referrals and authorizations.
• Communicated information to managers and associates concerning claims and payment issues.
• Researched and reviewed claims information, analyzed and interpreted managed care contracts.
• Follow-up with health insurance companies regarding underpayments and denials.
• Required to write appeals and adjustments requests on behalf of Piedmont Henry Hospital.
• Experienced in healthcare codes, such as CPT, ICD, HCPCS, and DRG.
• Coordinated the denial and appeal program activities and resources tools. Organized and submitted

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