Job Description

Role & responsibilities Functions: Reasonable accommodation may be made to enable individuals with disabilities to perform job-related functions. • Review claims for assigned offices and ensure submission within a timely manner. • Perform quality control checks on patient accounts for accurate billing. • Review and analyze denial queues to identify outstanding claims and unpaid balances. • Follow up on denied, underpaid or rejected claims with insurance companies to resolve billing discrepancies and ensure proper reimbursement. • Investigate and resolve any claim rejections or denials, including appealing or demanding denied claims when necessary. • Collaborate with the Insurance Verification team to ensure eligibility and coverage is uploaded for patients, ensuring accurate billing information is obtained. • Communicate with insurance companies, patients, and healthcare providers to gather additional information required for claim processing. Preferred candidate profile Strong English proficiency skills (verbal & written) required. • Knowledge of medical billing/collection practices. • Knowledge of computer programs. • Ability to operate a computer and basic office equipment. • Ability to operate a multi-line telephone system. • Ability to read, understand and follow oral and written instructions. • Must be well organized and detail oriented.