• Prepare, edit and ensure all claims are submitted accurately and timely per payer contract and guidelines.

• Access client files and payer websites if necessary to verify information.
• Provide timely responses to all written correspondence inquiries regarding claim/account status.
• Manage claim assignments, via work queues and/or work lists and ensure proper follow up is performed on the accounts for cash resolution. Keep supervisor advised of any compliance, system(s), and/or payer trend issues which may lead to untimely or inaccurate completion of claim submission/resolution.
• Contact insurance carriers on a daily basis for claim status and patient information either by phone or website; determine reason for the lack of payment or underpayment.
• Complete all assignments according to schedule.
• Achieve and consistently maintain daily, weekly and monthly productivity and quality goals as determined by departmental needs and standards.
• Must have the ability to Identify/resolve claim and or payer issues as they occur.
• Perform other tasks as assigned to support the goals of the organization.
• Need high speed internet at home and dedicated work space.

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