The position involves reviewing and auditing accounts located in the contract management system daily to resolve and maintain collection status on accounts before escalating to the Team Lead for further review. Responsibilities include processing non-governmental accounts, verifying eligibility, correcting and resubmitting claims, and filing third-party insurances by updating insurance information in the host system. The role also requires utilizing a denial management system to respond to requests from insurance carriers for additional information necessary to process claims. Analyzing expected reimbursement information in the contract management system and ensuring accounts are properly paid is essential. The position involves reviewing EOBs in the contract management system to determine accurate account balances, detailed denial descriptions, and applicable appeal processes. Additionally, the role includes identifying and correcting transactions such as invalid insurance information, incorrect charges, and posting errors in the host system, posting adjustments, and reviewing claim export data in electronic billing, contract management, and/or host systems.
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Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees