Address
Form of work
SalaryESSENTIAL DUTIES AND RESPONSIBILITIES
- Analyzes, researches and processes insurance claims through electronic claims management systems in a timely manner.
- Ensures accurate and complete clean claim submission for both paper and electronic claims
- Processes claim updates based on direction given by facility or coding liaisons
- Evaluates electronic insurance rejections in order to re-transmit with corrected claim information
- Investigates rebill requests submitted to the billing department and processes these requests when appropriate
- Audits claims/accounts for charges, duplications, and overlapped accounts prior to billing, making any necessary adjustment
- Reviews patient account information for accuracy in billing
- Documents actions taken in collection system
- Informs Billing Managers of any charging trends or edit trends and provide examples/education to other departments to reduce errors
- Ability to perform all other duties as assigned or requested
QUALIFICATIONS
REQUIRED:
- Diploma or GED
- Minimum two (2) years’ work experience with insurance claims and handling; billing experience with UB04 and 1500 or state specified form.
Knowledge of Word Processing software, Spreadsheet software and E-mail software
PREFERRED:
- Associate’s Degree (A.A.)
