Applies payments and adjustments to patient accounts as appropriate. Counsel patients regarding financial obligations related to account balances. Follow up with insurance payers for processing of appeals and errors including paper appeals or online portal entry as needed. Receive and resolve inquiries, concerns, or complaints related to patient accounts from patients, insurance carriers, employers, etc. Responsible for resolution and appropriate refunding of credit balances. Includes working credit balance reports as needed. Responsible for the review and resolution of denied claims on EDI reports. Responsible for timely review and release of charges on hold. Review and coding of patient medical record in compliance with standard coding guidelines. Review explanations of benefits for correct adjudication and payment according to applicable managed care contract terms and reimbursement. Review of unpaid claims, researching denials, and/or lack of activity to ensure timely payment and maintain cash flow. Review and update patient and insurance demographics as appropriate. Understand CPT, ICD-10, and HCPCS coding. Provide feedback to providers regarding documentation in medical records. Review and resolve EDI rejections and payer denials. Print and mail corporate statements and secondary claims. Review coding denials. Other duties as assigned. Education and Experience:High school diploma or equivalent. Preferred:One year experience in customer service. Experience in a physician office. Knowledge of medical terminology. Every Team Member lives and breathes our