Kansas City, MO30+ days ago
Responsible for writing appeal letters to insurance companies - Research refund request from payor organizations - Responsible for preliminary audit of billing code errors before claim resubmitted from denial - Responsible for becoming a subject matter expert on the payor policies Payment posting corrections/adjustments and ability to distribute payments Insurance Follow-Up - Responsible for following up with insurance companies for unpaid claims - Responsible for communicating and resolving problems with the provider representatives when applicable - Payment posting corrections/adjustments and ability to distribute payments - Responsible for researching patient insurance coverage to identify and resubmit claims to fix coverage claim rejection/no pays Client Accounts - Responsible for reviewing all accounts at the beginning of the month to make sure they are ready for statements. Activities include, but are not limited to, entering demographics, troubleshooting issues, responding to inbound and outbound billing calls from patients, payment posting, resolving credits, identifying, and correcting medical claim errors that may prevent payment and identifying, correcting, and resubmitting medical claims denied by insurance companies.