Contacts payers for medical claims status, followup denials, or partial payments
Obtains payer requirements for timely adjudication of claims
Files claims with appropriate documentation attached
Pursues, maintains, and communicates medical coverage/guideline changes/updates
Processes all incoming and outgoing correspondence as assigned
Verifies, adjusts, and updates Accounts Receivable (A/R) according to correspondence received from insurance company
Helps facilitate interoffice communication on error and denial trends
Initiates the review/appeals process on disputed claims
Researches credit balances and initiates refunds as required
Documents all activity in customer's computer account
Answers Accounts Receivable phone inquiries
Works assigned RBCO reports
#CC
High School Diploma or General Education Degree (GED) required
Past performance shows solid evidence of insurance qualifications and guidelines
Knowledge of telephone etiquette and adequate oral and written communication skills
Shows effective multitasking skills
Positive and cooperative attitude in working and communicating with individuals at all levels of the organization
Knowledge of medical field preferred
#CC
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Customer Service - Billing • Blue Springs, MO, USA
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