Manage and supervise Business Office staff and department.
Responsible for verification and interpretation of insurance benefits.
Post payment and follow up claims.
Prepare and review all billing forms to ensure accuracy and completeness for claims submission and insurance carriers and back up for Medicare and Medicaid claims.
Process claims electronically or hard copy with 100% accuracy and mail claims to insurance carriers timely.
Enter documentation and adjustments through computer system to maintain a correct account balance.
Update system information according to correspondence received and processed. Document any changes and submit to appropriate staff.
Consistently apply appropriate procedures to prevent accounts from becoming delinquent or remaining unbilled.
Initiate appropriate follow-up and collection calls.
Review remittance advice statements for payments and adjustments on a daily basis and initiate appropriate data entry for patient charge or account discrepancy on review.
Identify denial and pending reasons and investigate, resolve and initiate information to secure reimbursement.