• Responsible for billing, coding, and resolving encounter forms from the clinics, surgery centers, and hospitals related to Balance Health • Identify and present improvement recommendations based on gathered knowledge and experience while working directly with the providers’ documentation and productivity • Assist in monthly audits • Determine and assess patient records, review accounts receivable activities, and collect payment • Responsible for communication with clinicians on a regular basis • Responsible for coding and billing accuracy to ensure compliance with legal and procedural policies and to ensure optimal reimbursements while adhering to regulations prohibiting unbundling and other questionable practices • Responsible for complete and accurate Patient Demographic Information • Follow up on rejected and/or unpaid claims according to standards • Regulatory Billing Practices Audit & Analysis • Determine accuracy of Insurance Payments and follow up on discrepancies • Run and build reports as required • Review and appeal unpaid and denied claims • Monitor A/R and Collections • Identify and bill secondary or tertiary insurances • Respond to patient and/or insurance companies billing questions • Execute work on assigned claim worklists, AR worklists, reporting, or projects • Communicate trends and root issues through proper lines of reporting • Provide support to medical providers and practice specialists as appropriate regarding coding compliance documentation • Meet productivity and Key Performance Indicator standards