• Must be detail oriented, organized, and possess the ability to apply critical thinking skills.
• Must be proficient with the usage of Microsoft Office 365, especially MS Excel for Data Analysis and MS PowerPoint for presenting analyzed data
• Good communication skills and assertiveness to escalate and dispute issues with payors and communicate the trends to Leadership
• Identify trends in denials and other issues being moved to "Client review" buckets by Athena on a daily basis • Weekly reporting on Root Cause issues for AR being moved to Client review buckets and escalate issues that needs Practice's attention • Examine denials resulting from non-compliance to Payor billing requirements, work with the Payor to find a resolution, and implement the correction by escalating to Leadership • Review 120+ AR for collection feasibility and determine adjustments required • Propose process improvements to address repeated issues or trends • Apply knowledge of insurance billing information including modifiers, authorization criteria, CPT, ICD10 coding and payor specific requirements • Maintain communication with Payors regarding changes to policies and procedures and communicate the same to Leadership • Support the development and maintenance of Payor performance metrics (Denial Rate by payor, Gross Collection Rate by payor etc)