Tasks and Responsibilities:
- Posting charges- Ensure patient's medical information is accurate and up-to-date- Assists in patient's inquiries with benefits, payments, and eligibility.- Perform completion of claims to payers.- Conduct duties in a professional and timely fashion.- Submit billing data to appropriate insurance providers.- Process claims and resolve denials to ensure maximum reimbursement.- Follow up unpaid claims to appropriate parties or payers.- Do Medicare and Medi-cal reviews.- Review remits and payer correspondence and escalate any identified issues to appropriate areas for review and response to expedite claim resolution.- Insurance verification, authorization, and appeals.- Analyze EOBs and remits.
CRMs/Systems:
- DrChrono- Office Ally- Prompt- AthenaOne