Denial Management Executive (Ortigas, Alabang, Clark) (Medical Coder)

Full-time Management & Operations

Ingenious Philippines is hiring! We are looking forMedical Codersto be part of our Denials Management team inAlabang, Ortigas and Clark!

Qualification:

• Must have have an active AAPC or AHIMA License
• Experience in OP coding, Claims, Denial Management
• Profee coding experience
• Amenable to onsite work and night shift

Responsibilities:

• • Research payer denials related to referral, pre-authorization, notifications, medical necessity, non-covered services, and billing resulting in denials and delays in payment.
• • Independently write professional appeal letters.
• • Submit detailed, customized appeals to payers based on review of medical records and in accordance with Medicare, Medicaid, and third-party guidelines as well as UW Health policies and procedures.
• • Submit retro-authorizations in accordance with payor requirements in response to authorization denials...