Nature and Scope: This position must possess extensive healthcare claims knowledge and have been responsible for the appropriate, compliant billing to insurance companies and patients, including third-party payer arrangements, legal proceedings, and the use of private collection agencies, with an understanding of how the revenue cycle processes and systems integrate information from the entire patient encounter to ensure appropriate follow-up to provide expedient, accurate collections to attain the departmental goals and objectives. Responsible for the management of Pre-Accounts Receivable to include Discharged, Not Final Billed accounts, Charge Router and Charge Review Work Queues, Claim Edit Work Queues and claims processing, remittance adjudication, the balancing of cash and credit balances, no response claims, clinical and technical denials through a strong follow-up and appeal process for designated payors.