Medical Billing - Revenue Cycle - Claim Response - Commercial Payors A/R Follow-Up Specialist

The Medical Billing - Revenue Cycle - Claim Response - Commercial Payors A/R Follow-Up Specialist works closely with multiple commercial payors, resolves insurance denials, and collects on accounts receivable. Tasks are performed accurately and in a timely manner in accordance with billing office practices, polices, and procedures. ESSENTIAL FUNCTIONS/DUTIES * Examine patient records and research all avenues to gather information. * Supports process improvements to ensure quality and timely documentation. * Follows billing processes and makes necessary contacts to assure maximum reimbursement. * Works closely with all billing and support service groups. * Make inquiries via telephone, mail, fax, and/or electronically through payor websites for follow-up of those unresolved accounts. * Review payment denials and discrepancies identified through EOB, remittance advice or payor correspondence, and take appropriate action to correct these accounts.