Job Description
Description
Review and interpret Explanation of Benefits (EOBs) to determine:
-Services billed
-Insurance coverage and adjustments
-Payment amounts
-Patient responsibility
Manage and work denial and collections queues within EPIC
Investigate and resolve denied or underpaid claims promptly
Follow up with insurance companies to resolve discrepancies and secure payment
Ensure timely resubmission of claims and appeals to avoid timely filing issues
Maintain accurate documentation of collection activity within the system
Support overall Accounts Receivable (AR) performance and aging goals
Qualifications
1+ years of medical collections or AR experience
Strong understanding of EOBs and insurance claim processing
Experience working in EPIC (highly preferred)
Ability to navigate denials and payer communications effect...
Review and interpret Explanation of Benefits (EOBs) to determine:
-Services billed
-Insurance coverage and adjustments
-Payment amounts
-Patient responsibility
Manage and work denial and collections queues within EPIC
Investigate and resolve denied or underpaid claims promptly
Follow up with insurance companies to resolve discrepancies and secure payment
Ensure timely resubmission of claims and appeals to avoid timely filing issues
Maintain accurate documentation of collection activity within the system
Support overall Accounts Receivable (AR) performance and aging goals
Qualifications
1+ years of medical collections or AR experience
Strong understanding of EOBs and insurance claim processing
Experience working in EPIC (highly preferred)
Ability to navigate denials and payer communications effect...