• Coordinates, monitors, and manages the follow-up on unpaid claims • Ensures follow-up and reimbursement appeals of unpaid and inappropriately paid claims • Identifies, researches, and ensures timely processing of billing errors and corrections as they relate to claims • Actively participates in problem identification and resolution and coordinates resolutions between appropriate parties • Ability to communicate and collaborate effectively with other internal as well as external resources to achieve desired results and resolve issues • Review and work all daily correspondence • Appeals denied claims via mail, telephone, or websites • Perform audits on accounts when needed to review for accuracy • Update accounts with information obtained through correspondence and telephone • When necessary, contacts patients, referring providers or a hospital to obtain better insurance information, authorization, or updated patient demographics to assist with collections • Completes appropriate account maintenance by ensuring that the correct statement groups, financial class, and payer codes • Accurately documents all follow up on the account to ensure there is an accurate record of the steps taken to collect on an account • Pitches in to help the completion of the daily AR Representative 2 workload to support AR team productivity and outcome measures • Meets the current productivity standard which include both quantity and quality metrics • Maintains a working knowledge and understanding of CPT and ICD-10 codes • Keeps current with health care practices and laws and regulations related to claims collections • Performs other job-related duties within the job scope as requested by Management