RESPONSIBILITIES:
MINIMUM QUALIFICATIONS:
PREFERRED QUALIFICATIONS:
PREFERRED SKILLS:
Required Skills Required Experience
These tasks include, but not limited to the following: • Follow up on all claims from billing through final resolution. • Correct and identify billing errors and resubmit claims to insurance carriers. • Follow up on payment errors, low reimbursement, denials etc. • Review Insurance EOB and initiate appeals as necessary. • Ensure maximization of collection dollars from insurance companies in accordance with the respective contracts. • Obtain corrected information and request rebills. • Respond to payer’s request for additional information/documentation. • Confer with Billers & Coders, as necessary, to obtain additional information/clarification. • Co-ordinate requests for medical records. • Posting account adjustments as a result of written communication from third parties (i.e. certain contractual adjustments, etc.). • Provides balance breakdown to document the status, i.e., primary payor balance, secondary or credit balance, patient balance. • Provide clear and concise documentation of every action taken on an account in the system collection notes