Community of Hope

Accounts Receivable

• Follow up on outstanding claims in a timely manner according to the assigned inventory and follow-up guidelines
• Complete denials and appeals within set guidelines
• Identify Insurance refunds and submits to Manager for review and approval
• Work claims to ensure billing is completed within 5 days of the claim date
• Correct errors to ensure claims are going out clean
• Submit claims daily to ensure timely filing
• Review and work status under Eligibility issues, pending, errors, insurance accepted/rejected, coding issues
• Expedite claim adjudication by resolving issues in ERA Denied, Rejections
• Research errors and make necessary edits to claims
• Contact patients and insurance companies as needed for resolution

Patient Account Receivables Specialist