Verify patient insurance information and file insurance claims. Process payments and adjustments. Review and follow up of unpaid claims.
Principal Duties & Responsibilities:
Example of Essential Duties:
1.Processes all insurance claims and correspondence.
2.Follows-up with companies ensuring claims are paid and proper reimbursements have been received.
3.Maintains files with referrals, progress and operative notes and correspondence.
4.Updates patient account database.
5.Assists with coding and error resolution.
6.Verifies reimbursement according to specific fee schedules.
7.Enters adjustments according to specific contracts.
8.Review suspense reports of unprocessed claims to reduce A/R days outstanding.
9.Process, post and photocopy reimbursement checks if applicable.
10. Other duties as assigned.
Knowledge, Skills & Abilities:
Previous experience and knowledge of accounts receivable practices, business office procedures, and insurance reimbursement procedures.
Consistently arrives at work, in professional attire, on time and completes all tasks within established time frame.
Seeks appropriate tasks when primary tasks are completed and assists co-workers as needed.
Demonstrates adaptability to expanded roles.
Toledo Clinic Inc