Vacancy Description
Duties and Responsibilities
- Maintain patient confidentiality and comply with HIPAA regulations.
- Implementing the (Client) company’s mission statement.
- Review Explanation of Benefits (EOBs) and electronic remittance advice (ERA) for accuracy, post payments, and address denials.
- Prepare and submit accurate professional claims to insurance companies, government payers, or third-party payers.
- Verifying the payor IDs and claims addresses are correct in accordance with each payor’s specifications.
- Accurately execute claim processing tasks by following detailed project instructions.
- Identify and resolve billing errors, underpayments, or overpayments.
- Update and maintain accurate patient billing records.
- Communicate with payers to verify claim status, resolve disputes, and obtain necessary documentation.
- Moving deductibles, coinsurances, and non-covered items from insurance to patient responsib...
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