Essential Job Duties:

• Analyze, research and process insurance claims through electronic claims management system in a timely manner.
• Ensures accurate and complete clean claim submission for both paper and electronic claims
• Processes claim updates based on direction given by facility or coding liaisons
• Evaluates electronic insurance rejections in order to re-transmit with corrected claim information
• Investigates rebill requests submitted to the billing department and processes these requests when appropriate
• Audits claims/accounts for charges, duplications, and overlapped accounts prior to billing, making any necessary adjustments
• Documents actions taken in collection system
• Informs Billing Managers of any charging trends or edit trends and provide examples/education to other departments to reduce errors
• Ability to perform all other duties as assigned or requested

Job Qualifications

Education:

• High school diploma or equivalent required.
• Associates degree preferred

Experience:

• 6 months related experience preferred

Behaviors

• Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
• Dedicated: Devoted to a task or purpose with loyalty or integrity