01Overview
Responsibilities
- Processes billing to patients and third-party insurance companies
- Receives, reviews, corrects, and enters claim information into the billing system.
- Complies with HIPAA and other regulations and requirements.
- Promptly resolves issues related to claim denials.
- Performs all responsibilities to meet timely filing and other time-sensitive requirements.
- Maintains required files of all appropriate documents and information.
- Works at least 85 tasks daily.
- Review patient eligibility and benefits verification for treatments and procedures.
- Coordinates with management and escalates and resolves billing issues.
- Keeps up to date with healthcare practices, laws, and regulations related to insurance requirements and current coding rules.
- Corrects and resubmits claims for payers that require case rate code corrections.
- Prioritizes work and manages time effectively to meet set requirements made by the manager.
- Assists with other administrative tasks as needed.
- Other duties may be assigned. .
