Job Duties / ResponsibilitiesMonitor held billing and coordinate resolution of related issues to ensure timely claim submissionReview, research, and correct claims that fail payer edits; update payer information and resubmit claims within the EMR system as neededUnderstand and actively follow up on outstanding accounts receivable to minimize agingWork all assigned and denied claims promptly and accuratelyAssist in preparing and submitting appeals and reconsiderations to payersCollaborate with internal teams (billing, authorizations, clinical, etc.) to resolve billing and collections issuesCommunicate with payers to obtain claim status and resolve outstanding balancesMaintain accurate documentation of collection activities and provide updates and reports on collection efforts as requestedAssist with special projects, audits, or process improvement initiatives as assignedIdentify trends related to denials/coding and delinquent claims and communicate effectively with client manager for feedback to the clientIdentify system/payer issues such as rates, codes, set up and coordinate accordinglyReport status of accounts and issues to appropriate supervisors and departments – always maintains full transparency of accountsFollow requirements through the full cycle until accounts are satisfied, including patient collections and appealsDocument, process and coordinate all write offs and adjustments as neededWork with contracting team and management to resolve payer issuesWork with branches for all questions on accountsAttend regular meetings with teams and management to ensure open communicationPerform other duties as assignedRequirementsExcellent verbal, written and computer communication skillsAble to communicate across all levels of authority within companyExcellent organization, problem solving, and project/time management skillsAble to work with multiple teams within the organization to promote viable, ethical, and cost-effective solutionsProven track record of successful collectionsAble to effectively deal with changeAble to complete projects within specific timetablesAble to successfully interact with people in face‑to‑face situations as well as by telephone in a professional and effective mannerSatisfactory background screens as required by State, Federal and Company policy free of any OIG sanctions#J-18808-Ljbffr