Responsible for responding to requests for support and maintaining ticket queues in an effective and timely manner for both internal and external customers. Works with vendors to resolve errors and provide resolutions to outstanding issues. Responsible for ongoing maintenance of software tables and files as requested.Handles escalations and more complex issues.Escalates issues to appropriate support levels, ensuring the needed documentation is in place at the time of escalation.Responsible for creating and maintaining process documentation as requested by management,Perform training along with providing the required documentation as needed.

Review and/or audit accounts to determine status and appropriate action required from workflow generated from practice management system. Document follow-up appropriately in practice management systems.Research and follow-up on denials and requests for additional information utilizing denial management reports and correspondence.Receive, research and respond to correspondence from insurance companies, attorneys and patients.Use facility correspondence websites, phone and/or correspondence to contact payers regarding reimbursement for unpaid accounts.Contact patients as needed to collect appropriate information or to collect and/or resolve patient balances.Collaborate with management to identify payer trends and non-payment issues.Identify, verify and document account adjustments according to established policy and procedure.Ensure service level and productivity requirements are met as it relates to reimbursement of accounts, resolution of tasks and response to inquiries, etc.Develop and maintain positive working relationships and partner with internal and external customers by providing superior customer service.

Reviewing payments and contractual allowances associated with on inpatient and outpatient accounts to insure accurate reimbursement.Initiates appeals to third party carriers for erroneous reimbursement.Processes payments discrepancies and identifies variances, researches contract terms, performs analysis of discrepancies, initiates appeals and processes refunds.Understand UB-04 Claim FormReplies to insurance letters in a timely matter.

Research billing accounts within a timely matter.Fix any payments and/or adjustments on accounts that’s due per Explanation of benefits and/or contractsUnderstand 1500 Health Insurance Claim FormReplies to patients’ letters and/or phone callAnswer questions that a patient account representative may have

Answer phone calls from patients and/or insurance companies regarding their statement or claimRead and understand Explanation of benefits from insurance companiesKeep notes on account updated and correctKnowable with all insurances plansObey Health Insurance Portability and Accountability Act for patient’s privacy

Pull charts requested by the physicians and deliver them in a timely matterFile correspondence in patient's charts in correct orderFile charts back after the physician doneKeep shelves of charts neat and cleanScan and index documents into the patient's electronic chart