Duties and Responsibilities:

Duties will include, but may not be limited to:

• Stay up to date on billing protocols
• Call and follow up on claim status and denials according to the AR report and insurance correspondence received in the mail
• Send insurance update letters and communicate with biller to ensure proper claim routing and billing
• Send medical records and appeals to insurance companies as needed
• Retrieve and manage denial EOBs from all insurances
• Enter payments received from insurance companies according to the deposit log
• Communicate with all members of the team to relay any discovered information such as claims not received by insurance, invalid member policies, updated insurances
• Take appropriate action to push claims through to insurance companies for adjudication
• Assist in billing and rebilling of claims
• Create processes and systems to make our work environment more productive and efficient

Qualifications: Minimum Requirements

• Handles multiple tasks simultaneously and works in a productive environment
• Communicates effectively with all levels of staff
• Maintains composure while working under high pressure
• Demonstrates strong interpersonal skills that foster a positive environment
• Demonstrates flexibility and ability to adapt to change
• Knowledge: Working knowledge of insurance companies and policies
• Skills: Strong data entry experience Microsoft excel proficiency