Billing Representative

Analyze and apply denials to third party carriers in all media types Comply with departmental Business Rules and Standard Operating Procedures Focus efforts on decreasing the Accounts Receivable, increasing cash, and / or reducing bad debt Interpret explanation of benefits for appropriate follow up action Utilize automation tools to verify eligibility, claim status and / or to obtain better billing information Review and research denied claims by navigating multiple computer systems and platforms, in order to accurately capture data / information for processing Communicate and collaborate with members or providers to evaluate claims errors / issues, using clear, simple language to ensure understanding Conduct data entry and rework for adjudication of claims Meet the performance goals established for the position in the areas of: efficiency, accuracy, quality, patient and client satisfaction and attendance Coordinates with insurance carriers to reconcile/resolve any issues Analyzes and ...Billing, Representative, Health, Benefits, Accounting, Healthcare