• Verifies or obtains patient eligibility and/or authorization for healthcare services performed by searching payer web sites or client eligibility systems, or by conducting phone conversations with the insurance carrier or healthcare providers. • Updates patient demographics and/or insurance information in appropriate systems. • Conducts research and appropriately statuses unpaid or denied claims. • Monitors claims for missing information, authorization, and control numbers (ICN//DCN). • Research EOBs for payments or adjustments to resolve claims. • Contacts payers by phone or through written correspondence to secure payment of claims. • Accesses client systems for information regarding received payments, open claims and other data necessary to resolve claims. • Follows guidelines for prioritization, timely filing deadlines, and notation protocols within appropriate systems. • Secures medical documentation as required or requested by third party insurance carriers. • Obtains billing guidelines and requirements by researching provider billing manuals. • Writes appeal letters for technical appeals. • Verifies accuracy of underpayments by researching contracts and claims data. • In the event of an authorization, coding, level of care and/or length of stay denial, prepares claims for clinical audit processing. • Supports Savista Compliance Program by adhering to policies and procedures pertaining to HIPAA, FDCPA, FCRA, and other laws applicable to Savista business practices.