• Managing all professional billing requirements and managing accounts receivable tasks according to standard and productivity measurements. • Ensure all regulatory and payor guidelines are followed. • Coordinating payor denial and appeal follow up activities to ensure timely response from third party payors and the processing of all payor denials, documentation requests and appeals. • Review all denial accounts for categorization, level of appeal, special requirements for initiating appeals. • Communicate global payer issues with the payer relations team. • Communicating and coordinating with various individuals/distributions and assisting with monitoring of the day-to-day activities related to appeal follow up and denials. • Maintaining the healthcare tracking tool/application that stores/communicates all claim edits, review and denial activity. • Monitor all Claim Edit and Denial Management work queues and lists to ensure they are fully resolved. • Ensure medical records requests are completed and submitted within 48 hours. • Track all denials on a database to determine outcome. • Collecting/analyzing, report status, metrics and trends of activity by different reviews from the tool. • Distributing reports on a routine basis to specific distribution group. • Organizing all data and activity in a retrievable way to ensure timely follow up on appeals to third party payors. • Assisting with the coordination of denial and review activities and materials for committee meetings, including analyses, reports, etc. • Supporting projects and initiatives of the Billing and Denials Management teams. This may include coordinating meetings, conducting research for payor criteria, and preparing documents. • Able to build and maintain relationships with payer representatives.