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Review and interpret Explanation of Benefits (EOBs) to determine: -Services billed -Insurance coverage and adjustments -Payment amounts -Patient responsibility Manage and work denial and collections queues within EPIC Investigate and resolve denied or underpaid claims promptly Follow up with insurance companies to resolve discrepancies and secure payment Ensure timely resubmission of claims and appeals to avoid timely filing issues Maintain accurate documentation of collection activity within the system Support overall Accounts Receivable (AR) performance and aging goals
Job Responsibility
Review and interpret Explanation of Benefits (EOBs) to determine: Services billed
Insurance coverage and adjustments
Payment amounts
Patient responsibility
Manage and work denial and collections queues within EPIC
Investigate and resolve denied or underpaid claims promptly
Follow up with insurance companies to resolve discrepancies and secure payment
Ensure timely resubmission of claims and appeals to avoid timely filing issues
Maintain accurate documentation of collection activity within the system
Support overall Accounts Receivable (AR) performance and aging goals
Requirements
1+ years of medical collections or AR experience
Strong understanding of EOBs and insurance claim processing
Experience working in EPIC (highly preferred)
Ability to navigate denials and payer communications effectively
Detail-oriented with strong problem-solving skills
Comfortable working in a fast-paced, growth-oriented environment