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General Summary
Verify patient insurance information and file insurance claims. Process payments and adjustments. Review and follow up of unpaid claims.
Works under the supervision of the Business Services Supervisor.
Essential Duties & Responsibilities
- Consistently arrives at work on time and adheres to regular work schedule.
- Processes all insurance claims and correspondence.
- Follows-up with companies ensuring claims are paid and proper reimbursements have been received.
- Maintains files with referrals, progress and operative notes and correspondence.
- Updates patient account database.
- Assists with coding and error resolution.
- Verifies reimbursement according to specific fee schedules.
- Enters adjustments according to specific contracts.
- Review suspense reports of unprocessed claims to reduce A/R days outstanding.
Other Essential Duties May Include but Are Not Limited To
- Process, post and photocopy reimbursement checks, if applicable.
- Other duties as assigned.
Knowledge, Skills & Abilities Required
Required:
- Consistently arrives at work in appropriate/professional attire.
- Completes all tasks within established time frame.
- Previous experience and knowledge of accounts receivable practices, business office procedures, and insurance reimbursement procedures required.
- Seeks appropriate tasks when primary tasks are completed and assists co-workers as needed.
- Demonstrates adaptability to expanded roles.
- Adheres to all clinic policies and procedure.
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Education:
- HS diploma or GED.
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