Job Description

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

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