The position involves reviewing and auditing accounts located in the contract management system on a daily basis to resolve and maintain collection status on an account prior to escalating to the Team Lead for further review. The role includes reviewing and processing commercial accounts through the contract/denial management system, verifying eligibility, correcting and resubmitting claims, and filing third-party insurances as necessary by adding/updating insurance information to the host system. The individual will utilize the denial management system and respond to requests from insurance carriers for additional information necessary to process claims. Additionally, the position requires reviewing EOBs in the contract management system to determine accurate account balances, detailed denial descriptions, and applicable appeal processes. The role also involves identifying and correcting transactions, such as invalid insurance information, incorrect charges, and posting errors in the host system, as well as resolving claims processing disputes related to denials and correspondence received.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees