Working on complex vendor inquiries and resolving the queries in a
time bound manner.
Manage vendor queries via inbound email and outbound calls.
Maintain customer relationships by responding timely and accurately
to both internal (company) and external (vendor directly) questions
and requests for information.
Efficiently manage queries and issues through pro-active
coordination with vendor and internal teams.
Process and submit medical claims accurately and in a timely manner
Review, monitor, and follow up on unpaid, pending, or denied claims with insurance carriers
Investigate billing discrepancies and manage appeals for denied or underpaid claims
Verify patient insurance eligibility, benefits, copays, deductibles, and coinsurance information
Maintain accurate and up-to-date billing records within EMR and billing systems
Communicate professionally with providers, clinic staff, patients, and insurance representatives
Assist with payment posting, account reconciliation, and accounts receivable follow-up
Ensure compliance with clinic policies, billing regulations, and insurance requirements
Utilize Google Workspace tools for reporting, documentation, and administrative tasks
Collaborate with tea-----------mbers to improve billing workflows and operational efficiency
Monitor claim status and proactively address issues that may impact reimbursement
Verified
