Job Description
Daily Tasks:
Responsible for updating patient Billing Episodes and crediting account.
Review and resolve prior authorization/precertification/referral issues.
Ensure all account activity is documented in the appropriate system.
Billing and Claims:
Responsible for billing all patient claims in a timely manner.
Review claims issues, make corrections as needed, and rebill.
Utilize claims clearinghouse, EMRs and payor portals to review and correct claims.
Data Analysis and Communication:
Gathers and interprets data from the system.
Call and status outstanding claims with third party payors.
Identify trends and work with the Revenue Cycle Manager for resolution.