Associate - Business Analyst-Back Office-Claims Medical Bill Review

Review and analyze the assigned outstanding receivables portfolio to identify unresolved claims. Manage and resolve outstanding and denied claims by coordinating effectively with insurance companies. Follow up promptly to obtain additional information required for claim resolution. Ensure all claims are resolved within established timelines and adhere to defined Service Level Agreements (SLAs). Perform website checks and handle non-callable denials to optimize receivables recovery Resolve/Fix the edits and rejections in the PMS and clearing house Track rejections and edit trends and fix the reoccurrence