Experienced with medical billing and claims processing, ensuring accurate and timely submissions. Utilizes billing software to maintain precise patient records and manage accounts receivable. Knowledge of industry regulations, aiding in efficient and compliant billing practices.
● Receive and review medical claims submitted by healthcare providers for accuracy, completeness, and compliance.
● Enter claim information into billing systems or software, ensuring accurate coding and documentation of services.
● Verify patient insurance coverage and eligibility, processing claims for payment according to payer policies.
● Investigate and resolve discrepancies, denials, and rejected claims, coordinating with internal departments.
● Maintain detailed records of claims processing activities, including correspondence, payments, and adjustments, to track claim status and reimbursement.
● Review patient medical records to accurately assign diagnostic and procedural codes for billing purposes.
● Verify insurance coverage and eligibility, ensuring accurate and timely submission of claims to insurance companies.
● Follow up on unpaid claims, denials, and discrepancies, resolving issues to ensure prompt reimbursement.
● Collaborate with healthcare providers and insurance companies to address billing inquiries and resolve disputes.
● Maintain detailed billing records and documentation, adhering to regulatory requirements and compliance standards.