My task primarily is to ensure that claims are submitted on time and that chronic errors were addressed to avoid claim denials. I am responsible for timely follow-up and collection of medical claims, and the reimbursement of claims from various insurance companies such as Medicare, Medicaid, Aetna, and other commercial payers.
I manage and resolve denials and outstanding A/R and call insurances when necessary to determine the reason for the denial and provide solution.
I also report and identify trends with the AR to leadership. I create and maintain the patient account ledger and post the payment once EOBs and payment nos are received.
