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Possesses a thorough understanding of the hospital revenue cycle with specialization in hospital billing, follow-up, and the account resolution process.

Utilizes and applies industry knowledge to resolve aged accounts receivable by working various account types including, but not limited to hospital and/or professional claims, governmental and/or non-governmental claims, denied claims, high-priority accounts, etc.

Manage multiple work queues for follow-up and denials by engaging payor websites and initiating calls to ensure prompt payment of medical claims. 

Pursues and/or follows up on appeals.

Initiates communication with the coding team and clinical staff when coding-related and medical necessity appeals are warranted.

Identifies denial trends and notifies Supervisor and/or Manager to prevent future denials and further delay in payments. Makes recommendations for resolution.

Remains open-minded with change maintains performance during the period(s) of change and understands changes in tasks and/or environment as well as the basis for change.

Possesses the ability to professionally communicate (in all forms) with payer resources such as website, e-mail, telephone, customer service departments, etc.

Possesses a cooperative and positive attitude toward clients, management, and co-workers by responding politely and professionally and being a valued team player.

Ability to meet departmental standards for quality and productivity.