Job Description

• verify patients’ insurance eligibility, benefits, and coverage before appointments.
• Obtain pre-authorizations and approvals for medical/dental procedures as required.
• Prepare, review, and submit insurance claims accurately via online portals (e ClaimLink, TATSH, etc.).
• Follow up on pending claims, rejections, and payment delays with insurance companies.
• Ensure accurate coding (ICD-10, CPT) and documentation for all claims.
• Reconcile insurance payments and identify discrepancies for corrective action.
• Maintain up-to-date knowledge of DHA/DOH regulations and insurance company policies.
• Generate insurance collection and aging reports on a regular basis.
• Negotiate with insurance companies regarding empanelment and price increases
• Support management during DHA audits and insurance company audits
• Improve collection days and reduce rejection rates
• implement best documentation policies