• Performs daily billing activities, including resolving billing edits and rejected claims to ensure accurate and timely claim submission • Identifies routine billing issues and resolves or escalates them as appropriate • Maintains working knowledge of state and federal laws related to insurance contracts and payer billing timelines • Investigates and addresses overpayment and underpayment accounts to optimize reimbursement • Applies payer rules, contracts, schedules, and related data to ensure claims are billed accurately and timely • Researches payer trends and provides feedback to improve billing accuracy and operational efficiency • Tracks and reports denial types and root causes, recommending process improvements • Analyzes, categorizes, and resolves claim rejections from commercial, government, and managed care payers • Documents all actions and follow-up activities in the patient accounting system • Responds to patient and payer inquiries or refers them appropriately • Prepares and submits reports documenting billing trends, outcomes, and claim activity • Interprets data, draws conclusions, and reviews findings with supervisor • Cross-trains in various functions to enhance service delivery • Maintains knowledge of applicable federal, state, and local laws and regulations