Claim Submission & Follow-up: Submit electronic or paper claims to Medicare, Medicaid, or private insurers; follow up on unpaid claims or rejections
Patient Care Reports (PCR), and hospital face sheets to verify mileage, origin, and destination.
Verify Medical Necessity: Determine if the transport level (e.g., Basic Life Support, Advanced Life Support, or Wheelchair) is justified and documented.
Patient Accounts & Collections: Post payments, set up patient payment plans, and answer patient inquiries regarding out-of-pocket costs
Resolved billing discrepancies through investigation and communication.
Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
Applied HIPAA privacy and security regulations while handling patient information.
Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
Maintained accurate records of all billing activity in accordance with departmental standards.
Maintained up-to-date knowledge of government regulations related to healthcare reimbursement policies and procedures.