Clinic Insurance Billing - Cardiology II

Responsible for the daily functions of patient and insurance billing/re-billing operations in order to ensure maximum cash flow, compliance with regulations for insurance billing and promoting good public relations. Responsible for patient/insurance follow up of outstanding accounts, and assisting patients, insurance companies and third parties with account inquiries.

Performs other general office duties as needed and /or assigned. Provider Base Billings charges are entered daily into the hospital computer (Paragon). Daily deposits prepared. Process insurance claims both electronic and hard copy claims.

Responsible for mailing secondary claims. Enter insurance and patient money daily, including blue cross payments. Review all insurance rejections and correct/resubmit to the insurance companies.

In a courteous manner, answer all patients# questions about their account. Prepare refund letters for over payments received from insurance companies. Letters are given to the Office Manager.

Obtain and review current information on insurance rules and regulations. Share information with the Office Manager, Receptionists and nursing staff. In a courteous manner, answer questions from employees and physicians regarding requirements for Medicare, Blue Cross and all other insurance companies.

Understand and support the office HIPPA privacy practices and that privacy will be evaluated with other job duties. Print and complete the delinquent claims report. (Includes refiling claims, calling insurance companies and patients when claims are denied). CT and Special procedures# log book is checked monthly for any changes not billed/Rotates coverage for front desk and check out. Help register patients and make appointments in M.D.

Logic and Promed. Chart reviews to validate codes and modifiers and attaching correct diagnosis. Help register patients in Paragon.

Responsible for prior authorizations and insurance eligibility. Other duties as may be assigned by clinic manager. High School Diploma or GED required; Prefer two years of healthcare insurance experience.

Strong knowledge of problem solving, management information systems, and governmental and third party billing information requirements. Knowledge of computer applications used in business (Promed, Paragon, ad MD Logic); ICD and CPT coding; organizational activities and relationships.

Responsible for the daily functions of patient and insurance billing/re-billing operations in order to ensure maximum cash flow, compliance with regulations for insurance billing and promoting good public relations. Responsible for patient/insurance follow up of outstanding accounts, and assisting patients, insurance companies and third parties with account inquiries.

Performs other general office duties as needed and /or assigned.

Provider Base Billings charges are entered daily into the hospital computer (Paragon).

Daily deposits prepared.

Process insurance claims both electronic and hard copy claims.

Responsible for mailing secondary claims.

Enter insurance and patient money daily, including blue cross payments.

Review all insurance rejections and correct/resubmit to the insurance companies.

In a courteous manner, answer all patients' questions about their account.

Prepare refund letters for over payments received from insurance companies. Letters are given to the Office Manager.

Obtain and review current information on insurance rules and regulations. Share information with the Office Manager, Receptionists and nursing staff.

In a courteous manner, answer questions from employees and physicians regarding requirements for Medicare, Blue Cross and all other insurance companies.

Understand and support the office HIPPA privacy practices and that privacy will be evaluated with other job duties.

Print and complete the delinquent claims report. (Includes refiling claims, calling insurance companies and patients when claims are denied).

CT and Special procedures' log book is checked monthly for any changes not billed/Rotates coverage for front desk and check out.

Help register patients and make appointments in M.D.

Logic and Promed.

Chart reviews to validate codes and modifiers and attaching correct diagnosis.

Help register patients in Paragon.

Responsible for prior authorizations and insurance eligibility.

Other duties as may be assigned by clinic manager.

High School Diploma or GED required; Prefer two years of healthcare insurance experience.

Strong knowledge of problem solving, management information systems, and governmental and third party billing information requirements. Knowledge of computer applications used in business (Promed, Paragon, ad MD Logic); ICD and CPT coding; organizational activities and relationships.