• Support claim submission to ensure timely, accurate billing
• Monitor claim status and follow up on unpaid or denied claims
• Assist with provider credentialing and payer enrollment, keeping documentation and records current
• Manage accounts receivable, including aging follow-up, collections, and resolution of outstanding balances
• Support denial management by identifying issues, documenting trends, and escalating complex cases
• Post payments, adjustments, and remittance information accurately
• Reconcile billing discrepancies and resolve account issues
• Verify patient eligibility, insurance information, and benefits as part of the insurance workflow
• Maintain documentation of billing activity, follow-up efforts, and account status
• Communicate with payers, vendors, and internal teams on claim issues and payment delays
• Help track key RCM metrics such as clean claim rate, denials, days in A/R, and collections
• Support process improvement efforts to increase efficiency and reduce billing errors
• Ensure all work complies with company policies and applicable healthcare regulations