ROLES AND RESPONSIBILITIES:
Act as a liaison between insurers, medical offices, and patients
Handle confidential information and abide by HIPAA laws and other medical policies
Submit claims to insurance companies electronically and via mail
Properly code medical services, diagnosis, treatments, and more
Invoice patients and insurance companies for claims or payments
Track and collect payments, including setting up payment plans for outstanding bills
Correct rejected insurance claims and coding errors
Manage patient insurance claims and payment plans
Submit billing data to the appropriate insurance providers
Sending invoices to patients for remaining balances after insurance payouts
Communicating with insurance company representatives to track payments and confirm patient coverage information
Investigating denied claims and outstanding patient invoices to ensure the provider receives payment
Managing patient payments and updating information over the phone and in person
Balancing sent claims and payments received to record the provider's monthly and quarterly earnings accurately
Generate appeals or reconsideration forms on denied claims utilizing web portals or payor specific forms.
Help develop claim edits that will help increase cash flow and create clean claims.
Follow up on authorizations initiated by the front office staff, when necessary.
Research and provide timely response to patient, insurance and physician inquiries.
Communicate with provider offices to discuss accounts receivable issues, payment or denial trends and make recommendations to impact change.
Run denial and accounts receivable reports to help identify trends.
Ensure to meet the target as mentioned below while maintaining the quality of 97% and above.
Billing 200 DOS / day
Posting 500-line item/ day
Rejection or Denial 70 per day
Provide daily production report to supervisor
Coordinate with internal departments, escalate, and resolve payment issues.
Job Types: Full-time, Permanent
Pay: 35,
- 00 - 50,000.00 per month
Benefits: - Health insurance
Provident Fund
Schedule: Monday to Friday
Supplemental Pay:
* Yearly bonus
Experience:
- total work: 1 year (Preferred)
Work Location: In person
