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Medical Biller in Avon, CT at Staffing Now

Date Posted: 2/12/2018

Job Snapshot

Job Description

  • Work aged accounts on assigned payers prioritizing accounts that are approaching timely filing denial.
  • Devote time weekly to work current rejections 1 to 90 days old. Fix errors and re-bill accordingly.
  • Look up payer eligibility using payer websites or call payers to gather needed information for billing. Update all accounts in the system for that patient and promptly re-bill.
  • Contact guarantors as needed to determine insurance coverage. Drop tickets having no insurance to self-pay and bill patient.
  • Work and identify the reason for the credit balance. Be sure everything going to the patient is self-pay. Review tickets on hold, checking chart to be sure they should be on hold and release after days on hold for that payer if dollars exist.
  • Initiate appeals to payers following the guidelines outlined for that payer. Note account and track appeal to resolution.
  • Enter notes on all tickets with action taken and paste any proof of insurance eligibility.
  • Be prepared to account for action taken on tickets. Participate in meetings as instructed by management.
  • Provide work status updates to management upon request that may including running statistical reports.
  • Meet or exceed all set deadlines and goals.
  • Promptly inform management of any problems or changes with system or payers identified during the course of daily work.