• Check eligibility and benefit verification. • Review patient bills for accuracy and completeness and obtain any missing information • Obtain referrals and pre-authorizations as required for procedures. •Prepare, review, and transmit claims using billing software, including electronic and paper claim processing. • Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid • Follow up on unpaid claims within standard billing cycle timeframe • Check each insurance payment for accuracy and compliance with contract discount • Call insurance companies regarding any discrepancy in payments if necessary • Identify and bill secondary or tertiary insurances • All accounts are to be reviewed for insurance or patient follow-up • Research and appeal denied claims. • Answer all patient or insurance telephone inquiries pertaining to assigned accounts. • Set up patient payment plans and work collection accounts • Update billing software with rate changes. • Updates cash spreadsheet, runs collection reports.