Collections

• Accurately post insurance and patient payments, adjustments, and claim denials into the billing system.
• Review and reconcile Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs).
• Billing queue regularly to review and respond to member inquiries, providing timely and accurate assistance with billing-related questions.
• Uploading and reconciling 835 files across multiple sources
• Follow up on outstanding insurance claims and patient balances.
• Conduct collection activities, including contacting patients regarding balances, establishing payment arrangements, and updating accounts.
• Work with insurance carriers to resolve denied or underpaid claims.
• Run patient AR reports to post any open balance.
• Maintain accurate and up-to-date records of all patient billing activities.
• Collaborate with internal departments to gather necessary documentation and ensure timely processing.
• Accurate payment posting and remittance reconciliation.
• Communication with patients on balances and payment plans
• Documentation of all claim activity for audit and compliance
• Root cause identification for underpayments and denials

Medical Claims Poster – Billing/Collections Specialist

Contract Collections Attorney

Revenue Cycle Associate – Collections

Collections Team Member II

PAR Collections Representative

Senior Analyst – Collections Analytics