Roles & Responsibilities

• Claim Tracking: Monitor aging reports and work queues to identify unpaid invoices or claims past 30, 60, or 90 days.


• Payer Communication: Contact insurance companies or clients via phone, email, and online portals to verify claim status and reasons for payment delays.


• Denial Management: Investigate rejected claims, identify root causes (e.g., coding errors, missing information), and resubmit corrected claims.


• Appeals Processing: Prepare and submit technical appeals for denied or underpaid claims based on specific payer guidelines.


• Patient Collections: When insurance does not cover the full balance, reach out to patients to explain their responsibility and establish payment plans.


• Detailed Documentation: Maintain accurate records of all interactions, including contact names, dates, and account notes for future audits