Key Responsibilities
Process and submit U.S. medical claims accurately and on time.
Perform ICD-10, CPT, and HCPCS coding based on provider documentation.
Monitor and follow up on AR, including 90+ and 120+ day accounts.
Handle claim denials, rejections, and insurance appeals.
Follow up on unpaid, delayed, and underpaid claims.
Post insurance payments, adjustments, and patient balances accurately.
Review billing and coding for errors and discrepancies.
Track claims, AR aging, denials, and collections.
Meet assigned deadlines and SLAs.
Follow HIPAA, payer, and U.S. healthcare billing requirements.
Identify recurring billing issues and recommend RCM improvements.
Coordinate with the clinic team to improve claims accuracy, collections, and reimbursement.
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