Must have experience working on UB-04 Claims for Hospital/Facility. Should have experience on A/R Follow Up.
Working knowledge of the insurance follow-up process with understanding of the fundamental concepts in healthcare reimbursement methodologies
Understanding of government, Medicare and Medicaid claims
Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites
Review and updates all patient and financial information accurately as given.
Verifies that information is accurate as to individual or insurance company responsible for payment of bill.
Monitors all billings for accuracy, updating any that contain known errors.
Monitors Medicaid/healthy options coupons to assure services are billed within expected timeframes
Bills all hospital services to primary insurer or patient correctly and within expected timeframe
Follows up with insurance companies on all assigned accounts within expected timeframe
Explains hospital regulations with regard to methods for payment of accounts and maintains complete working knowledge of insurance regulations and hospital insurance contracts
Identify and report underpayments and denial trends
Working knowledge of the insurance follow-up process with understanding of the fundamental concepts in healthcare reimbursement methodologies
Understanding of government, Medicare and Medicaid claims
Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites
Review and updates all patient and financial information accurately as given.
Verifies that information is accurate as to individual or insurance company responsible for payment of bill.
Monitors all billings for accuracy, updating any that contain known errors.
Monitors Medicaid/healthy options coupons to assure services are billed within expected timeframes
Bills all hospital services to primary insurer or patient correctly and within expected timeframe
Follows up with insurance companies on all assigned accounts within expected timeframe
Explains hospital regulations with regard to methods for payment of accounts and maintains complete working knowledge of insurance regulations and hospital insurance contracts
Identify and report underpayments and denial trends
This is a remote position.