Evaluate and adjust claims within limit of authority and summarize claims in excess of authority and submit to manager for approval.
September 16, 2022
Demonstrate proficiency in file audits to agreed standard of efficient claims quality.
October 17, 2022
Participates in department quality improvement, clinic safety, infection control and hazardous materials programs and activities.
December 15, 2022
Adheres to all policies and procedures.
January 04, 2023
Contact insurance companies in reference to all insurance claims.
February 13, 2023
Review and validation of requests for claim review and other claims documents.
February 16, 2023
Seeks assistance from Team Subject Matter Experts (SMEs), the Trainer and Claims Manager to ensure accuracy of adjudicating claims and to develop individual skills and grow professionally.
February 16, 2023
Documents all insurance information into eachaccount, includes patient co payments and deductible amounts (if applicable).
March 25, 2023