Accurately evaluates each account in order to determine what is needed, what is left outstanding and what steps are necessary to resolve the account quickly

Communicates effectively with assigned payer, other departments and leadership to identify trends, help find solutions and implement changes that will positively effect reimbursement

Coordinates Software in order to Run Reports and provide accurate feedback regarding Denials and Underpayments to Leadership

Understands payer contracts and how to analyze them in order to preview an account to determine if properly paid and identify when errors are made in payments

Accurately identifies and evaluates denials and underpayments in order to determine reason and investigates the issue to determine the best course of action to have payer pay at the maximum reimbursement allowed per our contract

Able to format an effective appeal letter where appropriate verbiage is used to reference the contract vio...