Job Summary
The role involves the independent management and resolution of complicated insurance balances, denial issues, and claims processing across a range of payers. The individual will be responsible for effectively communicating the status of claims and necessary documentation requirements to healthcare providers and internal stakeholders while ensuring comprehensive record-keeping within the Electronic Health Record (EHR) system.
Responsibilities
- Resolve complex outstanding insurance balances and claims denials.
- Address claim-processing issues with various payers independently.
- Communicate with providers and internal partners regarding the status of claims.
- Document necessary information within the EHR to maintain accurate records.
Qualifications
- Minimum of two years of direct experience in medical insurance accounts receivable (A/R) follow-up and claim resolution.
- Proficiency in using Electronic Health Record (EHR) systems and payer portals.
- Strong communication skills, both verbal and written.
