Work on clinical appeals editing, update provider information and certification, and contact patients and insurance companies for follow up of claims billed, medical coding, processing of rejected claims using web based software, process and post explanation of benefits received from insurance, Medicare appeals and re-determinations.
Maintain patient billing accounts, accuracy reviews and account billing and discrepancy resolutions, payment postings, balance cash drawers, development of payment plans including public assistance, qualification reviews, investigate and respond to account inquiries from patients, insurers and physicians.
In order to handle medical claims and billing to various insurance companies, must be proficient in billing various private insurance carriers, HMO/PPO, Medicare and Medicaid using various software programs. Create month end reports, work with insurance payers on the proper credentials for Physicians.
Requirement: Must have completed medical technology coding and customer service training courses offered by the hospital.
• EDUCATION: Certified in Medical Billing and Coding