Responsible for obtaining, verifying, and collecting insurance information from patients and client reports. Responsible for uploading to client system and following up with insurance companies for timely payments.
Answers questions from patients, clerical staff and insurance companies
3-5 years of insurance follow-up experience in a hospital or physician's office setting is a must
Identifies and resolves patient billing complaints
Thorough understanding of such items as HCPC and Procedure codes, modifiers and their effect on reimbursement
Experience with filing UB04 and HCFA 1500 claim forms
Ability to resolve insurance denials and file appeals with government and commercial carriers
Performs various collection actions including contacting patients by phone, updating insurance information, and follow through on insurance process.
Maintain excellent customer relationships to ensure customer satisfaction
Initiate and perform additional billing responsibilities to meet set goals.
Analyze the unpaid claims and denials and investigate the reasons for nonpayment.
Study and contractual terms and conditions of payment. Make sure certain payments are consistent with the terms.
Make changes in the personal details of the clients, if required such as contact details, financial status, etc.