• Processes and monitors unpaid third party insurance, Medicare, Medicaid or government-assisted program accounts for proper reimbursement. • Prepares and submits claims to payers either electronically or by paper. • Secures necessary medical documentation required or requested by payers. • Performs account follow-up on outstanding insurance balances and takes the necessary action for account resolution in accordance with established federal and state regulations. • Processes daily workflow changes that may include eligibility verification, verification of information, payment postings, initiating refunds, processing month end, resolving and troubleshooting incidents, reporting, initial billings and re-billings of claims, scanning and indexing of documents, and being the point of contact to provide assistance as needed. • Responsible for assuring accounts are set up correctly with the information available and completed timely and accurately. • Completes work within authorized time to assure compliance with departmental standards. • Keeps updated on all state/federal billing requirements and changes for insurance types within area of responsibility. • Understands edits and appropriate department procedures to effectively submit and/or correct errors on claims. • Processes and resolves denials that are technical in nature (i.e.: records required denials).