Marietta Family
06.2022
- Scheduling appointments, posting daily charges and payments, and checking patients in and out
- Checking patients in by verifying demographics and insurance information
- Collecting co-pays and patient balance at the time of check-in
- Obtaining new patient/consult information to ensure the proper appointment in a timely manner
- Answering incoming phone calls and direct calls to the appropriate staff member when necessary
- Distribute incoming faxes and faxes outgoing information as needed
- Preparing and faxing all test orders for outpatient procedures with the appropriate diagnosis
- Contacting patients to confirm appointments before their scheduled date/time
- Call to reschedule all no-show appointments if applicable
- Additional administrative duties such as invoicing, filing, or similar
- Initiating efficiencies and seeking out additional tasks to be handled
- Day office
- Clearly document multiple EHR systems to ensure clear understanding of actions taken to resolve the claim
- Write, submit, and follow up on appeals for denied claims
- Meet quality and productivity standards set by Signature and/or our client
- Review billing documents as assigned for submission to insurance plans and government entities (Medicare,
- Medicaid, Tricare etc)
- Clearing all edits necessary for clean claim submission
- Refer all needed claims to proper management personnel when unable to achieve clean claim status for submission
- Review and understand EOB's/RA's (Explanation of Benefits and Remittance Advice documents received from insurance payers and government entities
- Process all required payments, adjustments to accounts when claim payment is received if required in client or company systems
- Contact insurance plans and governments entities using online systems, email, and phone to resolve unpaid claims
- Providing data to management on trends found with payers in claims adjudication process affecting claims payment.
