Responsibilities include, but are not limited to:
- Investigates, and responds to inquiries from payors
- Research errors and make necessary corrections for clean claim production and submission
- Follow up on accounts to ensure timely filing and prompt payment
- Actively review billing/collection policy changes for assigned payers
- Follow up on payment errors, review posting, and calculate allowable amount before approving patient statements
- Review Insurance EOB and initiate appeals as necessary
- Resolves all insurance requests, inquiries, concerns, in an expedient and respectful manner
- Work accounts to ensure payment meets the qualified payment amount required by the No Surprises Act
- Must be able to think outside of the box, critical decision making is necessary to fulfill the positions expectations
- Meet and exceed departmental goals set by the company and department manager
EMR Used: MS Office, Excel, GoRev
- Ability to work remote or hybrid after training based on performance (training is anywhere from 30-45 days)
Schedule/Shift
Monday - Friday 8 AM - 5 PM