- Perform posting charges- Ensure patient’s medical information is accurate and up-to-date.
- Assist in patient’s inquiries with benefits, payments, and eligibility.
- Perform completion of claims to payers.
- Conduct duties in a professional and timely fashion.
- Submit billing data to appropriate insurance providers
- Process claims and resolve denials to ensure maximum reimbursement.
- Follow up unpaid claims to appropriate parties/payers
- Do medicare and medi-cal reviews.
- Review remits and payer correspondents and escalate any identified issues to appropriate areas for review and response to expedite claim resolution.
- Insurance verification, authorization and appeals.
- Analyze EOBs and remits.