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Description
Duties and Responsibilities
- Prepare and submit insurance claims electronically and manually to commercial insurance companies, Medicare, Medicaid, and other third party payers
- Review patient accounts for billing accuracy and completeness
- Verify patient insurance information and eligibility prior to claim submission
- Follow up with insurance companies regarding denied, delayed, or unpaid claims
- Research claim status, resolve billing discrepancies and claim rejections
- Post insurance payments and adjustments to patient accounts
- Maintain detailed records of collection activities and account updates
- Collaborate with coding, registration, and clinical departments to correct claim information
- Appeal denied claims when appropriate
- Work aging reports and prioritize outstanding balances
- Communicate with patients regarding billing questions and payment arrangements
Requirements
Regulatory Requirements
- Completes annual educational requirements within the assigned time frame
- Maintains regulatory requirements, including all state, federal and Joint Commission regulations related to their department and, as appropriate, to the hospital.
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