Medical Billing and Coding Specialist.
Audit and submit claims to insurance companies for patient procedures and treatments.
Obtain insurance referrals and pre-authorizations for patient procedures.
Verify insurance eligibility and benefits.
Understand insurance guidelines, including those for HMO/PPO, Medicare and Medicaid.
Review patient bills for accuracy and fill in any missing information.
Check payments for accuracy.
Research and appeal denied claims.
Talk with insurance companies about payment discrepancies.
Set up payment plans for patients.
Collect delinquent accounts.
Answer phone inquiries from patients and insurance companies.
Use medical billing software to perform job duties.
Update software with rate changes.
Know Fair Debt Collection Practices.
Maintaining patient confidentiality and information security.
Work Terms
Available any time when needed