• Reviewing cases for Part B therapy appeals • Logging therapy appeal cases in Axis • Submitting therapy appeals to the appropriate payer via their web portals (IE: Availity, Buckeye, Caresource, etc.) • Submitting corrected claims to various Managed Care payers for missing authorization • Following up on appeals with auditing contractors and payers • Submitting write offs on accounts deemed uncollectible • Notating on accounts in PCC in compliance with the dashboard collection policy • Account research as it pertains to cash postings and adjustments • Monitoring the ADR payers • Ensuring proper logging and statusing of all ADRs and therapy appeals in Axis • Assisting with report set up to ensure accuracy of data • Set up for electronic eMDR notification in NPPES/Waystar for Medicare pre and post pay ADRs • Assisting with electronic notification set up for other various ADRs • Calculating at risk amounts for partially favorable ADRs • Required knowledge of updating/changing PDPM/RUG scores in PCC to obtain difference, and knowing what dates of service to change, and appropriately changing back • Other duties as assigned