This employee ensures that all assigned reviews and company projects are completed timely and accurately according to the scope of work. They will report any issues and/or concerns timely to the Supervisor of the Centralized Billing Review team and/or Manager of the Centralized Billing Review team.
JOB FUNCTIONS
Contacts payors at times to discuss policy criteria or to ask clarifying questions on accounts
Understands payor requirements according to their policies
Ensures completion of all forms and collects complete billing information
Pursues, maintains, and communicates medical coverage/guideline changes/updates
Verifies insurance benefits and eligibility for patients
Communicates with patients to resolve billing issues and ensures timely payment
Maintains accurate and up-to-date patient records in compliance with HIPAA regulations
Works assigned reports accurately and timely
Helps facilitate interoffice communication on payor updates and trends
Completes any adjustments/transfers of AR as required
Documents all activity in customer's computer account or applicable applications