Accounts Receivable

• Responsible for being the subject matter expert of specific payers staying up to date on their claims process and coding requirements
• Review and resolve outstanding or pending insurance claims and account balances directly with payer; frequent follow up with payers using telephone, fax, email, and specific payer websites
• Resolve claim rejections in Realmed/Availity
• Process insurance correspondence as assigned
• Research any credit balances and if appropriate, send to refund department for processing
• Update and track payer guidelines to educate company on any changes
• Assist Patient Services with any statement request, itemized bills or other research as needed
• Maintain company production and QA standards
• Perform other related duties as assigned

CPG

Medical-Pathology Accounts Receivable Coordinator