About this role
Role Overview
- Verifies or obtains patient eligibility and/or authorization for healthcare services.
- Updates patient demographics and/or insurance information.
- Conducts research and appropriately statuses unpaid or denied claims.
- Monitors claims for missing information and researches EOBs.
- Contacts payers to secure payment of claims.
- Secures medical documentation as required or requested.
- Writes appeal letters for technical appeals.
- Prepares claims for clinical audit processing.
Requirements
- High school diploma or GED.
- At least three years of experience in healthcare insurance accounts receivable follow up.
- Experience identifying billing errors and resubmitting claims.
- Knowledge of accounts receivable practices and medical business office procedures.
- At least three years of experience with accounts receivable software.
- Experience navigating payer sites for appeals and claims follow up.
- Demonstrated ability to navigate Internet Explorer and Microsoft Office.
- Demonstrated experience communicating effectively with payers.
Benefits
- health insurance
- retirement plans
- paid time off