Medical Biller/AR Specialist/Coder
To check Eligibility and verification of patient’s health benefits from insurance carrier’s website and through Phone
Create appointments on scheduler while receiving patient calls
Full patient demographics and charge entry - Insurance claims submission (primary, secondary or tertiary)
Accounts receivable analysis with corrective and preventive actions and decision making for Collections
Strong claims follow up on denials from insurances like Workers Comp, Medicare, Medicaid, BCBS Semi Government, Managed care and Commercial Insurances (Aetna, BCBS, Cigna, UHC etc)
Patient billing inquiries as per received information from provider office
To check claim status from insurance, websites, auto response unit and via live calls.
To make on call appeals for reprocessing of incorrectly processed claims based on billing knowledge ICD9, CPT and HCPCS Coding and/or review, Encoder pro Expert
