• Utilize various hospital/physician systems to verify patient, billing and claim information for accuracy • Perform compliant primary/secondary, tertiary and rebill billing functions which can include electronic, paper and portal submission to payers • Edit claims to meet and satisfy billing compliance guidelines for electronic and hardcopy submission • Respond timely to emails and telephone messages as appropriate • Communicate issues to management, including payer, system or escalated account issues • Participate and attend meetings as requested, training seminars and in-services to develop job knowledge • Serves and protects the hospital community by adhering to professional standards, hospital policies and procedures, federal, state, and local requirements, and JCAHO standards • Enhance billing department and hospital reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments • Update patient demographics/insurance information in appropriate systems • Monitor claims for missing information, authorization and control numbers(ICN//DCN) • Follow guidelines for prioritization, timely filing deadlines, and notation protocols within appropriate systems • Secure needed medical documentation required or requested by third party insurance carriers • Maintain and respect the confidentiality of patient information in accordance with insurance collection guidelines and corporate policy and procedure • Perform other related duties as required

• Daily Maintenance of the Billing System • Assist in monthly bill closes • Process onboarding orders and ensure accuracy of syncing data from CT systems to billing system; apply manual charges as necessary • Refine and improve the onboarding process in SalesForce and billing system • Process MACDs; apply manual charges as required • Process catalog service conversions to migrate customers between product sets and/or product catalog versions; ensure that pricing and products are accurate and billing correctly, engaging other department resources as necessary • Process offboarding/location billing account terminations • Process contract renewals and apply updated charges in billing system as directed by inside sales; maintain updated contract term details in Salesforce. • Engage DEV to implement Customer Pricing Override entries to correct syncing/quoting issues • Attend cross functional meetings as needed • Provide project based or ad-hoc reporting as required • Assist with provisioning and billing system integration projects • Assist with billing vendor relationship • Assist with process documentation • Assist in resolving customer disputes and issues, focused on providing the best possible experience for the customer balanced against CallTower’s financial health • Ensure efficiency and effectiveness of billing processes and system operation • Engage billing system vendor to escalate and resolve system issues • Be able to approach workload in a self-directed manner, working independently and in a collaborative nature • Provide billing system navigational, informational or interpretive assistance to outside departments • Analyze monthly billing procedures and update accordingly • Back up billing manager as needed

• Ensure a smooth, efficient, and timely claim submission process with minimal denials, including identifying gaps in claims • Follow up on unpaid claims, denials, and appeals to ensure maximum reimbursement • Investigate and resolve billing discrepancies or coding issues • Collaborate with internal teams, including clinicians, to provide charting requirements and necessary documentation for claims submission, training team members on billing processes, and creating workflows for billing operations • Provide support and guidance to patients regarding their insurance coverage, financial assistance, and billing inquiries • Manage abortion fund invoicing and reimbursements • Maintain accurate and organized billing records and documentation • Generate and analyze reports to monitor billing performance and identify areas for improvement • Support new payor partnerships, working collaboratively with internal and external stakeholders to own billing and coding workflows as we grow • Maintain knowledge of current billing and coding regulations and updates • Stay up-to-date with changes in insurance policies, fee schedules, and reimbursement rates • Assist with other billing-related tasks as needed

• Own components of financial reporting, including working with external partners • Handle invoice reconciliations, communicating with networks on credit requests and managing invoice discrepancies with the accounting team. • Establish and maintain processes across the team, and work to improve efficiency • Work closely with the 3rd Party Partnerships team on ad hoc projects including leadership updates, product releases, partnership launches, and other initiatives