Currance

• Submit medical claims in accordance with all federal, state, and payer-specific requirements. • Ensure claims are correctly submitted and paid by reviewing and correcting edits, errors, and denials. • Investigate and analyze claim errors and rejections to apply necessary corrections. • Follow up with payers and collect assigned insurance accounts receivable. • Stay informed about payer updates and process changes for accurate claims submission and follow-up. • Evaluate reasons for non-payment and take appropriate action to resolve claims for clients. • Prepare and submit first- and second-level appeals with supporting documentation in accordance with payer guidelines and timelines. • Identify and document coding, clinical, and registration issues for referral to the appropriate teams to correct claim errors and prevent future denials. • Escalate stalled claims to the payer or Currance leadership as needed. • Verify and adjust claims so that client accounts reflect correct liability and balances. • Perform other duties assigned to support business needs.

• Identifies, researches, and ensures timely processing of payments and error corrections, ensuring appropriate documentation of payments, allowances, denial, rejections, are recorded on individual accounts. • Serve as a subject matter expert responsible for training new and existing team members. • Provide cross coverage between multiple projects for both hospital and provider-based payment posting. • Research and resolve payment posting issues, including unidentified payments, missing payments, and payment rejections, communicating with payers, clients, and management, as necessary. • Ensure compliance with payer regulations and requirements by reconciling payments with remittances, deposits, paper checks, etc. • Adhere to deadlines for payment posting and reconciliation tasks to ensure timely and accurate financial reporting. • Maintain thorough and accurate documentation of payment posting activities, including notes on payment discrepancies, adjustments, and resolution efforts. • Identify opportunities for process improvements and efficiencies within payment posting workflows. • Provide excellent customer service for clients and management responding promptly and courteously to inquiries related to payment posting and account balances. • Other duties as assigned.

• Submit hospital medical claims in accordance with federal, state and payer mandated guidelines. • Research, analyze, and review hospital claim errors and rejections and make applicable corrections. • Ensure proper hospital claim submission and payment through review and correction of claim edits, errors, and denials. • Maintain required knowledge of payer updates and process modifications to ensure accurate claims. • Investigate, follow up with payers, and work claims as assigned. • Determine reason for non-covered charges and take appropriate action. • Perform posting billing adjustments. • Ensure billing reroutes are worked timely and comply with company procedures. • Escalate stalled hospital claims to manager. • Identify and communicate payer specific issues to the team and leadership. • Participate and contribute to daily shift briefings. • Comply with productivity standards while maintaining quality levels. • Receptive to feedback and continual performance improvement, and willingness to grow and learn. • Punctual, dependable, and adapt easily to change. • Strong character by demonstrating accountability and responsibility. • Perform work duties using ethical decision-making processes. • Other job duties as assigned.

• Prepare and submit billing data and medical claims (hospital and physician) to insurance companies in accordance with federal, state, and payer mandated guidelines • Comply with productivity standards while maintaining quality levels • Ensure proper hospital claim submission and payment through review and correction of claim edits, errors, and denials • Investigate, follow up with payers, and work claims as assigned • Perform posting billing adjustments • Ensure billing reroutes are worked timely and comply with company procedures • Conduct duties in a professional and timely fashion • Achieve maximum reimbursement for services provided • Punctual, dependable, and adapt easily to change

• Execute tasks focused on revenue generation through account resolution for any company client. • Review documentation to support or contest payer coding decisions for multiple facilities. • Prepare clear, concise, and well-supported appeals where applicable, using all available documentation, coding guidelines, and regulatory references to defend billed claims and secure reimbursement on insurance accounts receivable. • Investigate the root causes of denials and downgrades, as needed. • Provide targeted training on coding practices to Currance team members, promoting accuracy, compliance, and efficiency in resolving coding-related issues. • Participate in daily shift briefings and contribute actively. • Resubmit corrected claims according to Federal, State, and payer-mandated guidelines. • Research, analyze, and correct claim errors and rejections to ensure accurate resubmission and to avoid payer denials due to preventable errors. • Escalate problematic accounts, recurring issues, or trends to Supervisor and recommend education or denial prevention measures to the client. • Stay current on payer updates, process changes, and coding guidelines to maintain compliance with Federal, State, and payer requirements. • Meet productivity standards while maintaining quality output. • Communicate payer-specific issues to the team and management for timely resolution. • Engage in continuous learning to remain up to date on coding and payer policies.

• Mentor assigned Account Resolution Specialists (ARS), providing continuous feedback to promote improved productivity and effectiveness of their work efforts. • Serve as the first point of escalation for difficult or unresolved accounts. • Assist in assigning daily work to team members based on priority, complexity, and individual skill sets. • Review, approve, and post adjustments as necessary. • Ensure timely follow-up on assigned accounts and adherence to payer guidelines while meeting established performance expectations. • Handle accounts requiring advanced payer knowledge, contract review, and multi-step resolution processes. • Submit claims in accordance with Federal, State, and payer guidelines. • Research, analyze, and resolve claim errors and rejections, ensuring accurate corrections are made. • Minimize claim denials and returns due to controllable errors by ensuring correct submissions. • Stay current with payer updates and process changes for precise claim management. • Investigate, follow up, and collect on insurance accounts receivable, escalating stalled claims as necessary. • Verify accounts for accurate liability and payer balance. • Communicate payer-specific issues to the team and management. • Lead and contribute to daily shift briefings. • Support onboarding new hires. • Perform additional assigned tasks as required.

• Independently manage high-dollar, high volume, and complex accounts with significant financial impact. • Submit accurate medical claims in compliance with federal, state, and payer-specific requirements. • Resolve multi-level denials that require advanced research, payer escalation, and detailed follow-up. • Investigate and follow up with payers to collect insurance accounts receivables. • Prepare and submit first- and second-level appeals with complete supporting documentation, ensuring thorough tracking and follow-up to maximize reimbursement. • Execute and oversee EHR workflows in systems such as Epic, Cerner, Meditech, and Allscripts, including reroutes, denial closures, and account adjustments. • Review Explanation of Benefits (EOBs) to resolve payment discrepancies, claim denials, and contractual underpayments. • Complete rebills and corrections to maximize reimbursement. • Transforming revenue cycle differently. • Improving healthcare together. • Analyze discrepancies in payments and take corrective actions as needed. • Meet productivity benchmarks while maintaining high-quality standards. • Research, analyze, and correct errors and rejections, identify root causes, and implement preventive solutions. • Verify and adjust claims to ensure accurate client liability and account balance. • Stay informed about changes in payer guidelines and processes for accurate claim submissions. • Identify payer trends impacting reimbursement and bring findings to management for review. • Participate in daily shift briefings and contribute as needed.

• Supervise the daily operations of a non-exempt hospital billing staff • Oversee the development, implementation, and achievement of operational goals for clients and the company • Ensure adherence to client policies and procedures and perform all assigned job-related duties • Facilitate interviewing of potential billing candidates and provide pre-hire feedback • Ensure team member compliance with HIPAA, State and Federal laws and guidelines • Ensure team members comply with productivity standards while maintaining quality levels • Review quality audits weekly and provide coaching for improvement • Review team member performance daily and provide coaching if not meeting key metrics • Escalate employee deficiencies to leadership if coaching attempts have failed • Report and discuss team member and team progress with leadership • Perform disciplinary counseling and implement Employee Success Plans as needed • Promote teamwork, collaboration, and a positive work environment • Responsible for team member payroll accuracy and approval • Complete performance evaluations of staff • Continuous training, mentoring, and development of team members • Responsible for researching, analyzing, and reviewing claim errors and rejections for trends and improvements • Stay current with payer updates and process changes to ensure accurate claims resolution • Ensure adjustments are accurate, timely, and compliant with client policies and procedures • Identify payer-specific issues and communicate to team and leadership • Research problem accounts as needed • Lead and contribute to daily shift briefings • Escalate client issues (including IPO issues) to leadership if not resolved internally • Responsible for training all new hires on client and company workflows • Collaborate with leadership to develop policies, procedures, and job aids • Participate in client, payer, and internal meetings as requested • Complete all assigned projects in a timely manner • Possible limited travel • Perform other duties as required

• Supervises billing leadership and staff, including hiring, training new team members, performance evaluation, workload allocation, and professional development. • Serves as the department’s subject matter expert on coding and billing processes. • Serves as the subject matter expert for each project’s clearinghouse and advises best practices within the client’s clearinghouse. • Responsible for reviewing improvements with clients pertaining to billing and DNFB recommendations. • Responsible for reviewing, advising, and building clearinghouse edits and bridge routines to ensure industry standard clean claim rates. • Ensure compliance with HIPAA, State, and Federal laws and guidelines among team members. • Implement audit and productivity standards to uphold compliance across the billing teams. • Ensure leadership teams are informed proactively pertaining to client billing issues and opportunities; attend client meetings as needed for explanations. • Strive to meet or exceed all KPIs and goals. • Coach and mentor supervisors when employees do not meet expectations. • Design, implement, and maintain billing best practice workflows and policies. • Foster teamwork and a positive working environment. • Support supervisors with team member payroll accuracy and approvals as needed. • Participate in client or internal meetings as requested. • Complete all assigned projects promptly. • Perform other related duties as needed.

• Lead interviews for potential Posting staff and Team Lead candidates. • Ensure team members consistently comply with HIPAA, state, and federal laws and guidelines. • Provide ongoing training and mentorship to staff. • Monitor productivity standards and quality, ensuring all team members meet expectations. • Review team member quality and coach and mentor team on any negative trends. • Assess team member performance daily and provide coaching if key metrics are not achieved. • Escalate employee deficiencies to management if coaching does not result in improvement. • Communicate team and individual progress with the Shared Services Manager. • Administer disciplinary actions and implement Employee Success Plans as needed. • Promote a positive work environment and encourage teamwork. • Ensure the accuracy and approval of team member payroll. • Complete performance evaluations for all staff. • Track and resolve outstanding monies/EOB’s that can’t be posted. • Ensure client policies around denial posting, contractual write offs etc. are followed. • Stay up to date with payer updates and process changes to ensure accurate posting. • Lead and participate in daily shift briefings. • Investigate problem accounts as identified. • Escalate unresolved client IPO issues to management. • Train all new hires on both client and Currance workflows. • Collaborate with management to develop policies. • Participate in limited travel as required. • Complete all assigned projects in a timely manner. • Perform additional duties as needed.