POSITION PURPOSE: This position is responsible for prompt, accurate, and effective medical insurance claim submission, with follow-up of claims to satisfactory resolution. ESSENTIAL FUNCTIONS: * Review medical documentation and assess for proper coding utilizing CPT, HCPCS, and ICD10 coding materials, working closely with providers and other medical staff to ensure accuracy. * Submit clean claims to all payer types for prompt return of accounts receivable. * Follow-up on unpaid claims and resolve any billing issues in a timely manner. * Stay current on coding and billing guidelines for all payer types, to include commercial, government, and worker’s compensation. * Identify accounts which may require a refund and process appropriately. * Manage claims through various online tools and reporting systems. * Identify education needs for providers and medical staff based on coding assessments and/or updates, and act accordingly. * Assist patients with billing questions and issues, to include guidance on office policies regarding sliding scale discounts and payment arrangements for outstanding balances. * Post payments in practice management system, maintain batch controls and run reports appropriately. * Assist front office staff with billing questions relating to proper registration and scheduling of appointments as needed. * Participate in projects, trainings, and office/staff meetings. * Follow all Aviva Health policies and procedures. QUALIFICATIONS: * High School Diploma or GED required. * Minimum of one year experience in medical billing utilizing ICD-10, CPT, and HCPCS coding. * Excellent written and oral communication skills. * Certification in medical coding/billing preferred. WORKING CONDITIONS: Must be able to perform the following physical requirements: * Remain in a stationary position frequently throughout the day while performing duties. * Move or traverse occasionally throughout the day throughout the worksite. * Operate equipment frequently throughout the day: computer, phone, printer, standard office equipment. * Ability to communicate information and ideas clearly and accurately so others will understand; ability to interact with patients and staff clearly. * Able to move or transport up to 5 pounds while transporting laptop computer. * Work on-site indoors in heat-controlled environment frequently throughout the day. * OSHA Exposure Category – Category #2: The normal work routine involves no exposure to blood, body fluids, or tissues. * Onsite work in office. * Normal business hours. * If employee becomes eligible to work remotely, periodic travel to the office for work is required and a remote work agreement and regular home office safety inspections are required.   DISCLAIMER: Employees must be able to perform the essential functions of their position satisfactorily. Aviva Health will make reasonable efforts to accommodate a qualified applicant or employee with a known disability unless such accommodation creates an undue hardship on the operation of the business. To request a reasonable accommodation, please contact the Human Resources Director or their designee by email.