- Contact insurance companies to verify claim status and request reprocessing when needed
- Submit and track insurance appeals and corrected claims
- Review and analyze aging reports to resolve outstanding claims
- Investigate insurance denials and determine appropriate corrective action
- Identify denial patterns and report trends to improve billing processes
- Coordinate with internal staff to resolve billing discrepancies
- Prepare, audit, and submit claims to primary and secondary payers
- Ensure accurate payment postings and balance allocations
- Adjust claims according to established billing procedures
- Participate in business office phone rotations to support inquiries from patients and external partners
- Maintain strict compliance with HIPAA when handling patient financial information
- Document all account activity and claim updates thoroughly in billing systems
HIPAA