Company Name – Canadian Specialist Hospital
Key Responsibilities:
– Resubmit eligible IP, OP & Pharmacy claims with proper justifications.
– Resolve denials through coordination with payers and physicians.
– Monitor KPIs, spot trends, and drive improvements.
– Train staff on documentation best practices.
– Maintain accurate claim records.
Qualifications:
– CPC or equivalent; medical/paramedical background.
– Strong in denial analysis, coding, and MS Excel.
– Excellent communication and problem-solving skills.