Responsible for the timely and accurate resolution of claims, serving as the link between the client and the payer.

Critically review patient and insurance aging reports to prioritize long-pending outstanding claims.

Review patient encounters, operative reports, superbills, and charge capture documents for billing eligibility.

Accurately post all insurance payments, patient payments, and electronic funds transfers (EFTs).

Verify patient insurance eligibility, coverage status, and benefit details in a timely manner.

Receive and review requests for prior authorization, meticulously checking patient demographics and insurance coverage.

Conduct scheduled and ad-hoc audits of processed RCM transactions against defined quality parameters.

Conduct in-depth market research to identify prospective clients who could benefit from Aura’s RCM services.