Specialized Insurance Claims
Identifies in-depth insurance knowledge following the healthcare revenue cycle. Explore healthcare law. Investigate private payers, Medicare, Medicaid, TRICARE, CHAMPVA, worker's compensation, and disability insurance. Knowledge of deductibles, coinsurance, copayments, exclusions, medical necessity, referrals, prior authorization, coordination of benefits, COBRA, Charity Care, collections, pre-existing periods, allowed amounts, malpractice, outpatient benefits, and lifetime maximums. Intermediate diagnostic, procedural, and HCPCS coding. Claims reimbursement methods, contractual allowances, fee schedules, and other rules to facilitate timely payment of claims.