Responsible for the accurate and timely resolution of professional billing claim and clearinghouse edits as well as payer rejections. Meets or exceeds established performance targets established by the Clinical Revenue Cycle Manager.Performs root cause analysis and identifies edit trends timely to minimize lag days and maximize opportunities to improve the process and update the Electronic Health Record logic as needed. Demonstrates good judgement in escalating identified root causes and edit trends to leadership to ensure timely resolution and communication to stakeholders.Communicates effectively with the Billing and Compliance Coders to handle the accurate and timely resolution of coding-related claim edits and appeals. Provides customer service to patients by educating them on insurance policies, billing procedures and coding issues.Assist in Month End procedures and reporting. Maintains working day-to-day knowledge of the electronic health record (EHR). Thoroughly researching reasons for denied claims and working appeals as necessary to resolve outstanding balances. Identifying and documenting new payer denial trends, and notifying supervisor for escalated follow up.Assisting with managing patient and payer credit balances with established policy and procedures. Assist with the implementation of special billing projects, as needed. Other duties and special projects as assigned related to billing and collections.