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Insurance Biller

Location: Lufkin
Posted on: May 3, 2021

Job Description:

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 regarding operations.

Keywords: Express EMPLOYEMENT PROFESSIONALS, Tyler , Insurance Biller, Other , Lufkin, Texas

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