Primary Job Responsibilities

Resolve the more intricate billing edits as assigned. The edits are the result of claims that have previously billed and require an increased ability to understand what happened initially and the additional requirements that are needed to rebill successfully.

Follow up on the No Response WQs as assigned. Communicate with the payer via phone, email, or website platforms as needed. Ability to locate denial or remittances via the payer websites as needed.

Respond to denials received on accounts as assigned. This may require a re-billing of a claim after updating the correct information or it may require the submission of an appeal with supporting documentation.

Collaborate professionally internally or with external departments when needed to resolve the edit or denial. This may require consistent communication with coding or individual depa...