Job Description:

• Check eligibility and benefit verification by calls and web portals.
• Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
• Identify and bill secondary or tertiary insurance.
• Check each insurance payment for accuracy and compliance with the contract discount.
• Payment Posting (EOB/ERA).
• Review patient bills for accuracy and completeness and obtain any missing information.
• Generate Patient Statements.
• Obtain referrals and pre-authorization as required for procedures.
• Call insurance companies regarding any discrepancy in payments if necessary.
• All accounts are to be reviewed for insurance or patient follow-up.
• Follow up on unpaid claims through insurance calls & web/portals.
• Research and appeal denied claims.
• Update billing software according to the updated fee schedule.
• Updates cash spreadsheet and runs collection reports.
• Answer all patient or insurance telephone inquiries pertaining to assigned accounts.