Contacts payers for medical claims status, followup denials, or partial payments Obtains payer requirements for timely adjudication of claims Files claims with appropriate documentation attached Pursues, maintains, and communicates medical coverage/guideline changes/updates Processes all incoming and outgoing correspondence as assigned Verifies, adjusts, and updates Accounts Receivable (A/R) according to correspondence received from insurance company Helps facilitate interoffice communication on error and denial trends Initiates the review/appeals process on disputed claims Researches credit balances and initiates refunds as required Documents all activity in customer's computer account Answers Accounts Receivable phone inquiries Works assigned RBCO reports Available to assist other PACs with questions or collection needs Acts as liaison between staff and management #CC