Monitor held billing and coordinate resolution of related issues to ensure timely claim submission.
Review, research, and correct claims that fail payer edits; update payer information and resubmit claims within the EMR system as needed.
Understand and actively follow up on outstanding accounts receivable to minimize aging.
Work all assigned and denied claims promptly and accurately.
Assist in preparing and submitting appeals and reconsiderations to payers.
Collaborate with internal teams, including billing, authorizations, and clinical staff, to resolve billing and collections issues.
Communicate with payers to obtain claim status and resolve outstanding balances.
Maintain accurate documentation of collection activities and provide updates and reports on collection efforts as requested.
Assist with special projects, audits, or process improvement initiatives as assigned.
Identify trends related to denials and delinquent claims and communicate effectively with the client manager.
Identify system and payer issues such as rates, codes, and setup problems and coordinate accordingly.
Report status of accounts and issues to appropriate supervisors and departments while maintaining full transparency.
Follow accounts through the full cycle until resolved, including patient collections and appeals.
Document, process, and coordinate write-offs and adjustments as needed.
Work with contracting team and management to resolve payer issues.
Work with branches for account-related questions.
Attend regular meetings with teams and management to ensure open communication.
Perform other duties as assigned.
Excellent verbal, written, and computer communication skills.
Ability to communicate across all levels of authority within the company.
Strong organization, problem-solving, and project/time management skills.
Ability to work with multiple teams to promote viable, ethical, and cost-effective solutions.
Proven track record of successful collections.
Ability to effectively deal with change.
Ability to complete projects within specific timetables.
Ability to interact successfully with people in face-to-face situations and by telephone in a professional and effective manner.
Satisfactory background screening as required by state, federal, and company policy, free of any OIG sanctions.
Location
Colorado Springs, Colorado, US
Employment Type
Not specified
Experience Level
Associate
Remote work allowed
No
Posted
2 months ago