Revenue Cycle Management
Specialized Billing & Coding: Accurately billing, tracking, and managing services for personal injury patients (PIPs), often involving complex insurance sources.
Lien & LOP Management: Managing medical liens and Letters of Protection (LOPs) to ensure providers are paid directly from the patients settlement.
Third-Party Negotiations: Communicating with insurance adjusters and legal representatives to settle accounts and reduce A|R.
Denial Management: Identifying reasons for claim denials, filing appeals, and resubmitting corrections to recover lost revenue.
Required Skills and Competencies Expert Knowledge: Understanding of personal injury law, insurance, and medical billing.
Communication: Strong interpersonal skills for negotiating with attorneys and insurance companies.
Attention to Detail: Precision in documentation, coding, and verifying coverage to avoid billing issues.
These specialists act as a bridge between healthcare providers and the legal system to ensure consistent cash flow in complex PI cases.
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