Lumary

• Own and work the aged accounts receivable, prioritizing the highest-value and oldest outstanding claims to maximize collection. • Investigate unpaid, underpaid, and denied claims, determining root cause and pursuing resolution directly with payers. • Manage the full denials and appeals process, ensuring denials are addressed promptly and appeals are pursued through to outcome. • Conduct payer follow-up by phone and portal, escalating and documenting each step until claims are resolved. • Identify and report developing claim issues, denial trends, and payer patterns, escalating to leadership with recommendations. • Review and manage overpayments, initiate recoupment processes when necessary, and ensure payers post reconciliations appropriately. • Audit each month in the quarter for missed billing, unacknowledged claims, and aging that requires action. • Coordinate with providers to write off uncollectable claims only after a thorough appeals and collection effort. • Provide support with primary and secondary claim submission and payment posting as needed. • Monitor and address assigned tasks in Lumary, including provider communications.