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Job Details


Responsible for billing and follow-up of accounts according to documented procedures.  Includes but is not limited to following up on claim status, billing and re-billing of claims, credit balance resolution, denial management, following up on aging accounts, and maintaining up to date account information.

Essential Responsibilities:

  • Monitors claim status and records in system daily for commercial insurance billing.
  • Ensure timely collection of outstanding A/R and perform a variety of clerical and accounting functions to resolve billing issues of submitted claims
  • Review EOBs, assist in verifying patient coverage if needed, and assist with patient billing inquiries through a billing queue
  • Conducting outbound calls to insurance companies and/or patients to reconcile account issues and outstanding account balances
  • Facilitates and initiates appeals to insurance companies for higher payments and other appeals as needed.
  • Handles correspondence from payers to ensure all information required for claim processing is provided.
  • Review and resolve credit balances or unassigned money remaining on an account.
  • Provides customer service and follow through on account questions.
  • Assists with Special Projects as needed.
  • Other duties as assigned.

Education and/or Experience:

  • High School Diploma or equivalent; college preferred
  • 1-3 yrs of experience with Receivables /collections in a healthcare setting
  • Strong telephonic communication skills
  • billing queue

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