Accounts Receivable Management: Tracking and managing outstanding balances, posting payments, reconciling accounts.
Medical Billing & Coding Knowledge: Familiarity with CPT, ICD-10, and HCPCS codes.
Insurance Verification: Confirming patient coverage, eligibility, and benefits with insurance carriers.
Claims Processing: Submitting, reviewing, and following up on insurance claims.
Denial Management: Identifying reasons for claim denials and initiating appeals.
Collections: Managing patient and insurance collections, negotiating payment plans.
Payment Posting: Accurately posting insurance and patient payments.
Revenue Cycle Management: Understanding the end-to-end process of healthcare billing and reimbursement.
Practice Management Systems: Experience with EMR/EHR software.
Insurance Portals: Navigating payer portals for verification and claim status.
Microsoft Office Suite: Outlook, Teams, Excel for reporting and data analysis.
