salary: $21.95 - $21.95 per hour
shift: First
work hours: 8 AM - 5 PM
education: Associate
Responsibilities
- Obtain referrals and pre-authorizations as required for procedures
- Check eligibility and benefit verification
- Review patient bills for accuracy and completeness and obtain any missing information
- Prepare, review, and transmit claims using billing software, including electronic and paper claim processing
- Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid
- Follow up on unpaid claims within standard billing cycle timeframe
- Check each insurance payment for accuracy and compliance with contract discount
- Call insurance companies regarding any discrepancy in payments if necessary Identify and bill secondary or tertiary insurances
- All accounts are to be reviewed for insurance or patient follow-up
- Research and appeal denied claims Answer all patient or insurance telephone inquiries pertaining to assigned accounts.
Skills
Qualifications
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