Accept imported charges from clinics and complete the data elements for accurate 1500 claim form data. Apply specialty clinic edits as appropriate such as NDCs, lab values and modifiers. Follow-up on claims status and unpaid encounters using payer portals, contacting insurance plans at specific intervals to ensure claims are paid timely and accurately. Will submit corrected claims, reconsiderations and appeals via payer portals or paper as required. Respond to insurance correspondence received by various methods such as fax, mail, email. Contact clinics, coding, and other resources to assist with denials related to medical necessity, eligibility, authorizations, and diagnosis. Will submit appeals for payments according to payer requirements. Contact patients as appropriate to obtain information needed to update insurance information or provide information regarding coverage issues and coordination of benefits. Review encounters for payment demand letters and process bad debt files as appropriate. Complete address updates from electronic update files