· To address outstanding or assigned AR through analysis and phone calls by using available resources.
· Utilization of all possible tools and applications available to take account to the next level of resolution, which would result in a payment, corrected submission, appeals, patient transfer or adjustment.
· To report trends / patterns in denials, claim submission errors, credentialing issues and billing related roadblocks to the immediate reporting manager.
· To meet the established SLAs (service level agreements) for production and quality.
· To update the outcome of the calls or analysis in a clear and coherent manner in the billing system.
· To utilize the and stay updated with changes done with the P & Ps
· To improve the performance based on the feedback provided by the reporting manager / quality audit team.