Overview
Responsible for two aspects of billing, collection, credit, payments, and/or reconciliations. Billing responsibilities include manual re-bills as well as electronic submission to payers. Follow-up includes telephone calls to payers and/or patients, as well as accessing payer websites, and resolving complex accounts with minimal or no assistance necessary.
Responsibilities
Billing
* Demonstrates knowledge of editing and submitting claims to insurance clearing house by electronic or paper submission.
* Demonstrates knowledge of when to send a claim to the auditor or coder for corrections.
* Reviews and make corrections to rejected claims and resubmits to payers.
* Open communication on Updates-CPT codes and ICD-10 codes, as needed. Works with Billing Manager to maximize revenue potential based for services and providers.
Claim follow up
* Corrects, edits and manages denied ...