Reimbursement Specialist The Reimbursement Specialist is an entry level role responsible for early-stage follow-up on Workers Compensation claims. This includes verifying claim status, resubmitting original bills, initiating basic appeals, and updating documentation. While you will not handle
Essential Duties and Responsibilities: - Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data. - Enter coded data into a system