• Maintains productivity and accuracy metrics per department expectations. • Responsible for working claim errors in claims management system ensuring clean claims are submitted timely to insurance carriers. • Reviews insurance rejections to determine next appropriate action steps and obtain necessary information to resolve any outstanding rejections. • Correct and identify billing errors and resubmit claims to insurance carriers. • Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow processing of claims to insurance plans. • Assist in identifies and communicating trends and/or potential issues to management team. • Payer website user access maintenance. • Responsible for system maintenance of Athena master files including referring provider information, accurate insurance plan information and payer enrollments. • Responsible for EDI, ERA and EFT enrollments for all payers. EDUCATION • High school diploma or GED EXPERIENCE • Minimum two to three years of experience in medical billing. Experienced candidates will have prior experience working claim errors in a claims management system. Prefer candidates with knowledge of ERA/EFT enrollment as well as ANSI formatting. REQUIREMENTS • Requires demonstrated knowledge of revenue cycle applications. Prefer prior experience configuring revenue cycle vendor-supplied software. KNOWLEDGE • Knowledge of ICD-10, HCPS, and CPT codes, medical terminology, and billing practices. • Advanced computer knowledge, including Window based programs.