Duties & Essential Functions:

• Reasonable accommodation may be made to enable individuals with

disabilities to perform job-related functions.

• Review claims for assigned offices and ensure submission within a timely manner.
• Perform quality control checks on patient accounts for accurate billing.
• Review and analyze denial queues to identify outstanding claims and unpaid balances.
• Follow up on denied, underpaid or rejected claims with insurance companies to resolve billing

discrepancies and ensure proper reimbursement.

• Investigate and resolve any claim rejections or denials, including appealing or demanding

denied claims when necessary.

• Collaborate with the Insurance Verification team to ensure eligibility and coverage is

uploaded for patients, ensuring accurate billing information is obtained.

• Communicate with insurance companies, patients, and healthcare providers to gather

additional information required for claim processing