Description:
Job Duties:
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Process and follow-up on insurance claims to include denials & appeals.
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Review Explanation of Benefits (EOBs) for disallowed or underpaid claim discrepancies
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Prepare adjustments\refunds requests for accounts, as necessary.
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Data Entry
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Assist in patient phone calls.
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Prepare reports as assigned.
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Comply with all rules, regulations and procedures of the practice, state, and federal adherence.
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Perform any other duties as assigned by Supervisor or Management
Requirements:
Physical Requirements:
Requires sitting for extended periods. Some bending, stretching and stooping required. Manual dexterity enough to use a keyboard and calculator. Normal range of hearing and vision and verbal communication is required. Use of a telephone is required.
Performance Requirements:
Knowledge of billing and insurance practices and procedures as well as regulations including Medicare, Medicaid, and third-party insurance companies including managed care contracts. Knowledge of current ICD-10 and CPT codes is required. Strong communication skills are required.
