**Job Summary:**
Analyse and resolve issues related to unpaid medical claims and denied
claims.
Follow up with insurance companies to inquire about claim status and resolve
issues.
Interpret Explanation of Benefits (EOBs) to ensure correct payment
adjustments and patient responsibility.
Communicate with providers and patients regarding billing issues as needed.
Document all activities related to accounts receivable followup in a consistent
and comprehensive manner.
Meet key performance indicators as established by management such as
reducing the number of denied and rejected claims.
Review and appeal unpaid and denied claims.
Maintain patient confidentiality and adhere to HIPAA regulations.