- Conduct timely eligibility checks and benefit investigations through payer portals and phone outreach.
- Submit and monitor DME claims across platforms, troubleshooting billing issues to reduce denials.
- Analyze EOBs to identify payment discrepancies and execute resolution paths.
- Draft and submit detailed appeals for denied claims.
- Work aging reports weekly to resolve unpaid claims.
- Provide clear, empathetic billing support to patients regarding benefits and costs.
- Collaborate with billing and fulfillment teams to identify and address process gaps.
- Leverage AI-enabled tools to improve billing efficiency and accuracy.