Responsibilities

• Follow up on pending insurance claims to ensure timely processing and reimbursement
• Review Explanations of Benefits (EOBs) to determine appropriate next steps
• Contact insurance companies via phone and payer portals to resolve outstanding issues
• Investigate denied claims to identify root causes and manage the appeals process
• Prepare, submit, and track appeals with required supporting documentation
• Maintain detailed documentation of all follow-up activity within the billing system
• Monitor assigned accounts to minimize accounts receivable aging
• Identify recurring denial and payer trends to support process improvement

Requirements

• High school diploma or equivalent
• 2-3 years of experience in medical billing, accounts receivable, or insurance follow-up
• Working knowledge of the healthcare revenue cycle and reimbursement processes