Description
EXPERIENCE REQUIRED: 2+ Years
- Patient Billing: Prepare and submit claims to insurance companies for medical services provided to patients.
- Insurance Verification: Verify patients' insurance coverage and eligibility for services.
- Coding: Assign appropriate medical codes to diagnoses and procedures according to standardized coding systems (e. g. , ICD-10, CPT).
- Claim Processing: Process insurance claims accurately and efficiently to ensure timely reimbursement.
- Follow-Up: Follow up on unpaid or denied claims with insurance companies to resolve billing issues and ensure proper reimbursement.
- Patient Communication: Communicate with patients regarding billing inquiries, payment options, and insurance coverage details.
- Documentation: Maintain accurate and detailed records of patient billing and insurance information.
- Compliance: Ensure compliance with healthcare regulations and billing guidelines, including HIPAA regulations.
- Revenue Cycle Management: Assist in managing the revenue cycle by tracking payments, identifying trends, and analyzing financial data.
- Problem-Solving: Identify and resolve billing discrepancies, coding errors, and other issues that may impact reimbursement.
- Software Utilization: Utilize medical billing software and electronic health record (EHR) systems effectively to process claims and manage billing operations.
- Training and Education: Stay updated on changes in healthcare billing regulations, coding guidelines, and insurance policies through ongoing training and education.