SunValley Arthritis Center

Job Description Job Description Responsibilities Submit accurate and timely medical claims to commercial insurance, Medicare, Medicaid, and other payers. Review claims for accuracy, including CPT, HCPCS, ICD-10, modifiers, and insurance information. Monitor claim status and follow up on unpaid, rejected, and denied claims. Research and resolve claim denials, payment discrepancies, and billing issues. Post insurance and patient payments accurately to patient accounts. Process insurance EOBs and ERAs and reconcile payments. Work accounts receivable and follow up on outstanding balances. Submit corrected claims, appeals, and reconsiderations as needed. Verify insurance benefits and assist with resolving coverage and authorization issues. Communicate with insurance companies regarding claims, eligibility, benefits, and payment issues. Maintain accurate billing documentation and patient account records. Follow HIPAA, payer requirements, and practice billing policies....