Ensures the required processing and follow up work is performed for each claim that is entered into the revenue cycle. Responsible for calling insurance companies regarding delinquent balances, overpayments, underpayments, and completing the necessary steps to resolve the problem. Resolves all issues related to CPT codes, ICD 10 codes, NCCI Edits, as well as MUE Edits. Files appeals with insurance companies. Posts payments and appropriate non-payments from insurance companies. Researches and resolves inappropriate non-payments from insurance companies and refund requests. Answers patient questions regarding their account or balance including over the phone or by assisting a PAS Patient Financial Advocate. Documents all communications with patients and insurance companies. Reviews patient balances to determine appropriate step in the collections process. Communicates with collection agency on new and previously placed accounts. Reviews charity cases, probate cases, and bankruptcy cases and file/adjust accordingly. Possesses up to date knowledge related to CPT codes, ICD/10 codes, NCCI edits, MUE edits, Payer edits, Payer Authorization processes, as well as any current year changes made by CMS regarding billing & reimbursement rules.