Job Summary

Responsible for overseeing the billing and collection processes of a healthcare organization. They ensure that the claims are submitted accurately and timely, and that the payments are received and reconciled. They also supervise and train the billing staff, monitor the performance and compliance of the billing department, and resolve any issues or disputes with payers, patients, or providers.


Essential Functions

+ Submit claims electronically or by mail to insurance companies, government agencies, or other payers

+ Follow up on unpaid or rejected claims or account inquiries to resolve any issues or discrepancies.

+ Monitor claim status and ensure timely and accurate reimbursement.

+ Review and verify patient information, diagnosis codes, procedure codes, modifiers, and charges for accuracy and compliance.

+ Follow up on denied claims and make necessary corrections or appeals.

+ Maintain accurate ...