• Review denied claims based on assigned markets, payers and work queues within our practice management system • Accurately and efficiently processes requests for denied claims information using website portals and outbound phone calls for all Commercial, Medicare and Medicaid insurance payers • Researches and responds to documentation requests from insurance carriers in a timely manner • Processes appeals of insurance denials and follows-up until the appeal is resolved • Obtains, reviews and updates patient demographics and insurance information within both EHR and practice management billing system as needed • Complete timely follow-up on claims submitted to payer, but no response or ERA after 45 days to resolve any pending issues with claim and payer within timely filing limits • Documents clear and concise activities performed in the system for each account worked • Adheres to all HIPAA (Health Insurance Accountability and Portability Act) guidelines and regulations • Ability to consistently maintain productivity and quality expectations as defined by the leadership team • Alert management to irregularities, insurance trends and areas of concern with reimbursement • Completes other tasks and projects as assigned by RCM Leadership