• Responsible for performing entry-level insurance billing and follow-up tasks to support timely and accurate reimbursement. • Includes submitting claims, reviewing basic denials, and conducting follow-up on outstanding balances under supervision. • Focuses on learning workflows, applying standard procedures, and escalating more complex issues as needed. • Perform billing-related tasks as assigned, including data entry, claim review, charge review, and accounts receivable follow-up. • Focus on resolving entry-level insurance denials, such as those related to medical records, eligibility, and coordination of benefits (COB). • Complete daily tasks within assigned work queues based on manager direction and established workflows. • Utilize CBO Pathways, payer websites, billing systems, and training materials to determine appropriate actions for resolving unpaid or underpaid claims and authorizing procedures. • Identify potential issues related to payer requirements, provider credentialing, or coding, and escalate to management as appropriate. • Review reports to identify unpaid claims and potential revenue opportunities. • Communicate effectively with providers, patients, coders, and other stakeholders to ensure accurate and timely claims processing. • Adhere to departmental workflows, operational policies, compliance guidelines, and regulatory requirements, including FGP and patient confidentiality standards. • Provide input on system edits, process improvements, policies, and billing procedures to support revenue cycle optimization. • Participate in meetings and workgroups, complete all required training sessions, and actively seek additional training when needed. • Effectively make system corrections and resubmit claims as necessary to meet payer requirements.