- To address outstanding or assigned AR through analysis and phone calls by using available resources.
- Utilization of all possible tools and applications available to take into account the next level of resolution, which would result in a payment, corrected submission, appeals, patient transfer, or adjustment.
- To report trends/patterns in denials, claim submission errors, credentialing issues, and billing-related roadblocks to the immediate reporting manager.
- To meet the established SLAs (service level agreements) for production and quality
- To update the outcome of the calls or analysis clearly and coherently in the billing system.
- To utilize the P & Ps (policies and procedures) established for the process, and also stay updated with changes made to the P & Ps
- To improve the performance based on the feedback provided by the reporting manager/quality audit team.