United States onlyThis position submits medical billing to the appropriate party, works insurance edits/errors, follows-up on adjudication of claims, works payer rejections and denials. This position primarily communicates with payers but may also have communication with patients, family members, guarantors, hospital departments, physician practices regarding information needed or to obtain status of insurance claims.
Requirements
- Performs accurate review, analysis, and correction of denied and rejected claims.
- Performs follow-up on unpaid accounts to collect payment.
- Research correspondence and information from phone calls with payers to ensure accurate account handing.
- Reviews patient insurance information for accuracy making any necessary updates.
- Works closely with payer representatives to bring accounts to completion.
- Reports trends and payer issues to management.
