Address
Form of workMedical Billing Specialist
- Follow up of all outstanding insurance claims
- Prepare and submit claims, electronically or by paper, for Clinic, Surgical and Physical Therapy to various insurance companies with a concentration on claims over 180 days
- Account reviews for missed charges, duplicate payments and unbilled procedures
- Appeals to all carriers within a timely fashion for rejected/denied claims
- Follow up with Doctors and other clinical staff for any missing information as it pertains to billing.
- Verify insurance benefits, obtain authorizations, obtain referrals and perform pre-certifications
- Communicate benefits to the Medical Assistants, Front Desk & Physical Therapy Department by set deadlines.
- Explain benefits or answer any other insurance related questions from patients.
- Analyze, prepare and mail patient statements, implement and follow up on patient payment plans and collect patient balances.
- Resolve any patient complaints in a professional and courteous manner.
- Prepare accounts for collection agency that have been deemed non-collectible.
- Respond promptly to all attorney requests as it pertains to the billing department
- Follow up with WMC department to verify case statuses, proper authorizations have been received and follow up for unpaid claims
- Answer e-mail and/or voicemails in a timely and professional manner.
- Any other duties and/or special projects as assigned by supervisors or management.
- Accurately post patient and insurance payments.
