Job Title

Responsibilities:

• Run the AR every 4 weeks.
• • Make sure the claims were paid correctly.
  • Denials must be checked, sent appeal, Check authorization and eligibility.
  • Make phone calls if the denial is not clear, have the claims reprocess, etc.
  • Timely Filing, make sure claims are out before it hit timely filing.
  • Send corrected claims, if needed
  • Sending out invoices to the patient for copay and deductible
  • Write-off
  • Posting payments
  • Bill HMO Claims
• Must check and work on denied claims every week.
• Check on Waystar daily if any claims are rejected.
• The payments must be posted no later than 1 week after getting the remittance.
• Eligibility check 1st and 15th of the month.
• Claims submission once a week
• Billing straight Medicaid as secondary.
• Deductible and copay can be billed to Medic...