Summary

Coordinates insurance medical claims. 

Job Duties

• Expedites and maximizes payment of insurance medical claims by contacting insurance payers and patients by telephone or website.
• Works on complex and/or specialized cases. 
• Provides assistance with inquiries from outside parties regarding account status and possible resolutions.
• Utilizes specialized knowledge of regulatory or contractual billing guidelines to determine an account’s ability to pay after initial rejection from payer.
• Resolves all denials, and requests for information, including appeals.
• Identifies trends in payer non-compliance and informs management accordingly.
• Follows up on outstanding accounts and makes proper notations in EPIC system and logs.
• May provide guidance and technical work direction to less experienced staff.
• Performs other job-related duties as assigned.

Minimum Qualifications

• High School Diploma or GED.
• Minimum of two years of experience working in a medical setting, to include medical insurance and/or accounts receivable follow-up.