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Form of workGENERAL SUMMARYUnder general supervision and according to established policies and procedures, performs a variety of duties related to the workflow correspondence processes of Cooper Green Mercy Health Care Authority Billing Department. Such duties may include, but are not limited to; sort, date/time stamp, and batch mail correspondence for imaging, file and perform follow upon insurance claims, validates documents for processing by various functional areas, and performs other duties as assigned by direct supervisor. Communicates issues to management timely.KEY RESPONSIBILITIES1.
Prepare and submit billing data and medical claims to insurance companies.2. Confirm patient benefits and insurance.3. Follow all regulations and guidelines set by Medicaid, Medicare, and other payers.4.
Request any missing patient information.5. Monitor and date late payments.6. Follow-up on missed payments and resolve financial discrepancies.7.
Investigate and appeal denied claims.8. Examine patient bills for accuracy and request any missing information.9. Review referrals and authorizations10.
Update and review all accounts to keep records of payments up-to-date.WORK ENVIRONMENTThis role may require lifting up to 50 lbs.The work location for this role is onsite.
