Medical Billing Specialist
JOB SUMMARY:
Responsible for collecting, posting and managing Medicare, Medicaid, and Private Insurance account payments. Responsible for submitting insurance claims and following up with insurance companies.
|
|
ESSENTIAL FUNCTIONS:
- Prepares and submits clean claims to various insurance companies by paper.
- Answers questions from patients, clerical staff and insurance companies.
- Identifies and resolves billing complaints.
- Reviews accounts for possible assignment and makes recommendations to the Billing Supervisor.
- Responsible for correcting and resubmitting claims to third party players.
- Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
- Make applicable changes to rejected claims based on the insurance company's input.
- Continue to follow-up on claims until they are resolved. Prepares appeals when claims are denied
- Keep track of all claims and payments.
|
|
|
|
|
