Noctrix Health, Inc.

Collections

• Follow up on unpaid and aging insurance claims with payers by phone and electronically
• Review and analyze claim issues, rejections, denials, and outstanding balances to determine appropriate resolution steps
• Submit and resubmit claims and supporting documentation to payers as required
• Review payments and Explanations of Benefits (EOBs) and determine next steps for denied or unresolved claims, including appeals, resubmissions, additional documentation, or patient billing
• Prepare and submit claim appeals and supporting documentation in accordance with payer requirements
• Investigate payer underpayments and discrepancies and follow through to resolution
• Post payments and accurately enter EOB information into the billing system
• Verify and maintain accurate patient, insurance, payer, and claim information within billing and CRM systems
• Prepare and distribute patient billing statements
• Communicate with patients regarding outstanding balances, financial responsibilities, and available payment options
• Establish reasonable payment arrangements with patients in accordance with company policies
• Process patient payments, refunds, and adjustments accurately and in accordance with established procedures
• Respond to patient and provider inquiries regarding billing statements, insurance claims, payment status, and outstanding balances
• Maintain accurate and complete documentation of collection activities, payer communications, payments, claim status, and correspondence
• Generate and support accounts receivable (AR) and aging reports and assist with broader revenue cycle management activities
• Partner with Finance and internal stakeholders regarding patient orders, claims status, and outstanding balances
• Independently manage assigned collections activity while meeting productivity, accuracy, and follow-up expectations
• Identify recurring denial, payment, or collections issues and escalate trends or process-improvement opportunities
• Maintain compliance with HIPAA, applicable billing regulations, payer requirements, and company policies

Collections Associate