- Check eligibility and benefit verification.
- Review patient bills for accuracy and completeness and obtain any missing information
- Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
- Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid.
- Follow up on unpaid claims within standard billing cycle timeframe
- Check each insurance payment for accuracy and compliance with contract discount
- Call insurance companies regarding any discrepancy in payments if necessary
- Identify and bill secondary or tertiary insurances
- All accounts are to be reviewed for insurance or patient follow-up
- Research and appeal denied claims.
- Answer all patient or insurance telephone inquiries pertaining to assigned accounts.
- Set up patient payment plans and work collection accounts
- Update billing software with rate changes.
- Updates cash spreadsheet, runs collection reports.
Knowledge, Skills, and Abilities
- Knowledge of HIPA/OSHA, Medicare, Medicaid, and other payer requirements and systems.
- Use of computer systems
- Effective communication abilities for phone contacts with insurance payers to resolve issues.
- Able to work in a team environment.
- Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.
- Knowledge of medical terminology likely to be encountered in medical claims.
- Preferably have knowledge of working on different billing software's especially "Kareo" and "CureMD EMR.
Skills
Job Details
eServMD Healthcare Revenue Cycle Management company in US fundamental objectives of business operations are simply to meet the health care needs of the people in a manner that eServMD should be well known for efficacy & safety of pharmaceutical products. Our future plans are elaborately directed to provide high quality products for all the fields of medical profession. At eServMD, we have very capable professional & dedicated management team.
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