Prepares all hospital related claims for submission to all insurance companies, governmental programs, and workers compensation.
Requirements:- 1 to 3 years experience
- High School Diploma or GED
Responsibilities: Reviews all claims for accuracy and completeness prior to submittal. Requests medical records as required by insurance for billing purposes.Downloads, transmits, and maintains electronic billing/reports on a daily basis. Reviews all reports including rejections in the hold and the Master Claim Rejection Report and makes correction within one day of the error being received.Identifies trends with billing edits or billing system issues. Communicates anything identified to team, supervisor, and departments impacted.Updates/revises standard work processes regularly, ensuring they are current. Actively contributes to continual process improvements.Prepares hardcopy claims and secondary claims for submittal to payors, including pulling EOB's and RA's.Reviews revenue codes, dates of service, CPT codes, and insurance information to Works with departments and managers to resolve charging issues follow up on Charge Corrections timely ensuring prompt completion.Ensure accurate and compliant billing.Documents all transactions on the patient's accounts system.Provides back up for peers as needed. Performs other duties as assigned.