Insurance Follow-Up
Call insurance companies to check claim status (pending, denied, under review).
Resolve denials or rejections by providing missing information or appealing.
Patient Follow-Up (in some cases)
Contact patients for outstanding balances after insurance payments.
Documentation and Reporting
Accurately document call outcomes.
Update billing software with claim statuses.
Denial Management
Identify patterns in claim denials and report to the team.
Suggest corrective actions for frequently denied codes or issues.
Compliance and Accuracy
Stay updated with insurance policies and billing guidelines (HIPAA compliant in the US).
Work with Cross-functional Teams
Coordinate with coding, charge entry, and payment posting teams.