Company: Express EMPLOYEMENT PROFESSIONALS
Posted on: May 3, 2021
Responsible for working Gateway EDI rejection report and aging
report. Requires accuracy, thoroughness and a good understanding of
insurance procedures for referrals, co-pays, deductibles,
allowables, CPT codes and DX codes. Work is multi-tasked and
interrupted often. Must have the ability to communicate effectively
with patients. Provides direction to staff in the standards of
medical record documentation, auditing charge capture and coding of
professional charges and provides reimbursement analysis. Required
to maintain the utmost privacy and confidentiality when dealing
with patents as required by law, Health Insurance Portability and
Accountability Act of 1996. Assumes responsibility for accounts
receivable aging report and Gateway EDI rejection report a. Works
EDI rejection report daily. b. Works aging report daily; reviews
and counsels patients regarding accounts over 30, 60 and 120 days.
c. Follows up on insurance company requests for additional
information and denials. d. Reviews the accounts receivable aging
report for claims that need to be corrected and re-filed. e. Send
insurance paper claims and patient statements. f. Assist with other
patient service responsibilities as requested or as needed. 2.
Assumes responsibility for collecting payment on accounts. a.
Researches, identifies and rectifies any special circumstances
resulting in delayed payments. 3. Assumes responsibility for
staying informed of trends and changes in coding, insurance and
billing practices. a. Attends seminars both locally and out-of-town
to stay current on changes and trends associated with billing,
coding and insurance. 4. Assumes responsibility for establishing
and maintaining effective business relations with patients and
other employees. a. Ensures that professional reputation is
maintained. b. Ensures appropriate levels of confidentiality
Keywords: Express EMPLOYEMENT PROFESSIONALS, Tyler , Insurance Biller, Other , Lufkin, Texas
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