I help provider in processing patient data, submitting insurance claims, and managing payments.
- Claim Submission - Send electronic or paper claims to insurance companies.
- Eligibility Verification - Check patient insurance eligibility and benefits.
- Denial Management: Review unpaid, rejected or denied claims.
- Payment Posting - Record incoming payments and explanation of benefits (EOB).
- Familiarity with Electronic Health Records (EHR) and billing platforms
- Understanding of HIPAA guidelines for patient data privacy.
Claim Generation and Submission
- Data Gathering: Collect patient demographics, medical history, and treatment details from clinical records.
- Code Review: Check diagnostic and procedural codes for accuracy before billing.
- Transmission: Send electronic or paper claims to commercial insurance payers, Medicare, or Medicaid.
Payment Processing and Tracking
- Payment Posting: Record incoming insurance payments and patient co-pays into the financial system.
- Reconciliation: Match payments with Explanation of Benefits (EOB) statements to track collected revenue.
- Accounts Receivable (AR): Monitor aging reports to identify unpaid or slow-paying accounts.
Denials and Patient Support
- Denial Management: Investigate rejected claims, correct errors, and file formal appeals with supporting documents.
- Patient Billing: Send remaining balance statements to patients after insurance adjustments.
- Inquiries: Answer patient and payer questions, resolve disputes, and set up manageable payment plans
Let me help you handle billing and collection of payment.
