the position is very demanding, consisting of reviewing 25 cases per day with extreme accuracy.
to resolve the appeal within a maximum of 5 days or less if possible. to resolve any demogrpahic issues which caused the discrepancy and obtain the necessary paperwork to update the demographic information.
I learned about hospital and practitioner contracts and fee schedules, along with average wholesale pricing of drugs (AWP) in the RJ Health System.
Management is always available to assist, co-workers are friendly with a postive attitude.
Hardest part of the job is meeting department requirements which you receive a report card for.
the enjoyable part of the job is the satifaction of helping people in the medical billing industry and resolving appeals to the best of both parties.
excellent benefits, wonderful environment to work in
you can lose your job from departmental restructuring.