Ensure that medical staff members' maintain current credentials and licenses to work legally in their field Responsible for maintaining active status Submit insurance billing, process monthly statements, process collection accounts & overdue balances.

Ensured medical professionals were paid appropriately for their services Work with revenue cycle team to identify gaps in reimbursement Meet with programs to help direct them with maximizing their reimbursement Performs cash application duties, reviewing remittance advice forms to verify proper reimbursement Review patient accounts, identifying potential adjustments for bad debt

Answered patient questions on patient responsible portions, copays, deductibles, write-off’s, etc. Resolves patient complaints or explains why certain services are not covered. Followed up with insurance company on unpaid or rejected claims. Resolves issue and re-submits claims. Prepares appeal letters to insurance carrier when not in agreement with claim denial. Collect necessary information to accompany appeal. Posts insurance and patient payments using medical claim billing software.