job_description.job_card.job_descriptionContacts payers for medical claims status, followup denials, or partial paymentsObtains payer requirements for timely adjudication of claimsFiles claims with appropriate documentation attachedPursues, maintains, and communicates medical coverage / guideline changes / updatesProcesses all incoming and outgoing correspondence as assignedVerifies, adjusts, and updates Accounts Receivable (A / R) according to correspondence received from insurance companyHelps facilitate interoffice communication on error and denial trendsInitiates the review / appeals process on disputed claimsResearches credit balances and initiates refunds as requiredDocuments all activity in customer's computer accountAnswers Accounts Receivable phone inquiriesWorks assigned RBCO reportsHigh School Diploma or General Education Degree (GED) requiredPast performance shows solid evidence of insurance qualifications and guidelinesKnowledge of telephone etiquette and adequate oral and written communication skillsShows effective multitasking skillsPositive and cooperative attitude in working and communicating with individuals at all levels of the organizationKnowledge of medical field preferred