Compiles and communicates trends and areas of opportunity related to claim edits, rejections, and denials.
Analyze and prepare metrics for presentation and investigation of trends.
Collaborates with vendors and IT for system optimization and resolution of identified issues and trends.
Presents and conducts work groups for trend resolutions and process improvements.
Identify and resolve denials and underpayments.
Serves as a resource for staff and payers seeking to resolve questions and/or concerns related to underpayments and denials.
