Review, evaluate, appeal, and follow up on denied and underpaid claims using EnableComp tools.
Use payer documentation and provider contracts to determine correct reimbursements.
Review hospital contracts to identify cash payments for denied/underpaid claims.
Research and obtain medical records to create underpayment appeals.
Follow up by phone with payers to resolve outstanding receivables.
Ensure smooth operations and improve customer satisfaction.

🎯 Requirements

High School Diploma or GED required; Associate or Bachelor's preferred.
5+ years in healthcare billing or collections.
1+ years client-facing/customer service experience.
Intermediate understanding of ICD, HCPCS/CPT coding, and medical terminology.
Strong understanding of the revenue cycle and hospital reimbursement.
MS Office (Word, Excel, Outlook) proficiency.

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