Key Responsibilities: Research, analyze, and follow up on outstanding medical claims and patient accounts Initiate and manage appeals to ensure maximum reimbursement Monitor accounts receivable and identify trends impacting cash flow Document all account activity, correspondence, and resolutions accurately in the system Coordinate resolution of billing discrepancies and cash posting errors Evaluate payer responses and identify underpayments or overpayments Stay updated on payer policies, contract terms, and billing regulations Collaborate with internal teams to resolve complex billing issues Provide feedback on payer trends and reimbursement challenges to management Ensure compliance with organizational policies and industry regulations Meet defined productivity and quality benchmarks Act as a subject matter expert; support training and mentoring of new team members Required Qualifications: 1–3 years of experience in medical billing, claims follow-up, or patient accounts Strong understanding of insurance processes, billing practices, and compliance regulations Proficiency in medical terminology Hands-on experience with Epic Advanced skills in Microsoft Excel and Microsoft Word Solid computer skills including typing and 10-key data entry Strong analytical and problem-solving abilities Preferred Qualifications: 3–5 years of experience in hospital or physician billing Prior experience with claims appeals and reimbursement analysis Exposure to multiple payer types (commercial, government, third-party) This role focuses on claims follow-up, appeals processing, and driving timely reimbursement while minimizing accounts receivable.