Under supervision, accesses appropriate computer/information systems for retrieval or input of information, charge entry, and cash posting support.
Receives payments, reconciles, posts and balances, and more complex records which may require some knowledge of bookkeeping. Maintains records, files, charts and other information for Billing division.
Verifies accuracy of information and completeness of billing encounter and other documents according to detailed procedures. Checks diagnosis and procedure codes, modifiers, and third party identification numbers.
Contacts appropriate personnel to acquire necessary billing information.
Assists by explaining billing procedures, resolving problems/complaints, collecting fees, and performing other functions as necessary.
Communicates with patients, third-party payers, physicians, and clinics using established workflows.
Ensures proper identification of health insurance and primary care physician. Obtains appropriate referrals/authorizations as needed.
Reviews patient registrations for accuracy. Corrects insurance and other data in a timely manner. Ensures complete information for billing purposes.
Updates all computer systems with correct information to expedite and streamline billing.
- Performs other related duties as required. Utilizes new improvements and/or technology that relate to job assignment.
