Role Overview:
- Manage assigned insurance accounts receivable to ensure timely reimbursement and reduce aging balances.
- Follow up with insurance payers on outstanding claims, underpayments, denials, and payment discrepancies.
- Investigate and resolve claim denials by submitting corrected claims, appeals, reconsiderations, and supporting documentation.
What You'll Do:
- Accurately post insurance payments, adjustments, and remittances into the billing system.
- Perform daily payment reconciliation and research unapplied cash, payment variances, overpayments, and underpayments.
- Maintain open communication with providers, payers, and internal stakeholders to resolve claim and payment issues.
Qualifications & Requirements:
- Required: Bachelor's Degree in Business Administration or relevant coursework; 2+ years of healthcare revenue cycle experience.
- Knowledge of medical billing, insurance claims processing, and payer reimbursement.
- Experience posting payments and reconciling ERAs, EOBs, deposits, and unapplied cash.