Job Summary
The role involves assessing overdue accounts to address payment delays and handling the appeals process for rejected claims. Additionally, the representative works closely with the billing coordinator to guarantee correct submissions of initial claims and address inquiries related to accounts.
Responsibilities
- Review and resolve issues with outstanding accounts and payment delays.
- Manage the appeal process for denied claims effectively.
- Collaborate with the billing coordinator to ensure accurate submission of initial claims.
- Respond to inquiries regarding accounts promptly.
Qualifications
- Knowledge of regulatory compliance standards, including HIPAA and Medicare.
- Familiarity with billing and coding rules.
- Prior experience in hospital billing is preferred.
- Relevant certifications such as AAHAM or HFMA are highly regarded.
