Description

Essential Duties and Responsibilities


+ Performs daily posting of payments. Imports remits and reconciles payments.

+ Stays current with payer requirements for billing and shares best practices. Is involved with root cause analysis of denied claims and communicates trends and suggestions for improvement.

+ Review claim edits to achieve clean claims and timely submission to Payers.

+ Processes and corrects insurance denials. Works Accounts Receivable account aging to achieve maximum reimbursement for services provided. Documents all efforts on patient accounts.

+ Scans documentation into the archiving system for storage.

+ Provides customer service to internal and external customers regarding claims and insurance processing. Works with departments to resolve and avoid denials and appeals. Collaborates with team members to make process decisions.

+ Works with customers regarding billing questions.

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