Position Summary/ Department Summary:
This role requires 1 day in the office a week (*during the 90 day training period you could be asked to come onsite more days). Monday-Friday.

Key Responsibilities:
Reviews and verifies all demographic and insurance information utilizing available technologies,
payer websites, or by phone contact with third party payers or guarantors.
• Collaborates with management and peers to ensure all required information is obtained for
resolution of charge edits, claim edits, denials, and appeals in a timely manner, while adhering to
government/payer regulation and department policy/procedures.
• Prepares and submits accurate insurance claims and appeals to payer within required timeframes
and in accordance with government/payer regulations and requirements.
• Resolves outstanding charges and claims responding timely and accurately for resolution of
outstanding balance while adhering to department policies/procedures.
• Accepts, rejects, and reconciles claim runs on timely basis and processes payer response reports
in an effective and timely manner.
• Reviews and processes guarantor overpayments per department policies and procedures.
• Responds to inquiries received via telephone and other correspondence from patients/guarantors,
insurance carriers, departments/foundations as needed.
• Assist with the training of newly hired staff in process and system navigation.

Minimum Qualifications
Education: High-school and/or GED required

Experience: 2 years of experience in a multi-specialty physician billing or equivalent medical billing experience. EPIC experience preferred.