Responsibilities
- Identify and resolve unpostable records by investigating discrepancies in charges not linked to athenaOne, such as insurance and capitation payments, patient payments, remittance details, and voided charges
- Reconcile claims that have been reprocessed or involve payer-initiated reversals
- Exercise independent judgment in adjusting claims, resubmitting, filing appeals, and applying other resolution methods as necessary
- Manage and maintain access to all payer web portals and ensure integration with athenaOne systems
- Provide training to internal departments including Operations and Sales, as well as care center personnel when required
- Collaborate directly with practice consultants and physicians to support efficient revenue cycle operations
- Contribute to meeting the department’s daily and monthly performance targets
- Perform additional tasks as directed by management
