Responsibilities
- Update patient and insurance demographic information in patient accounts as necessary.
- Maintain accurate and up-to-date records in the Rhodes Fusion or Sunquest Clinical Financial System.
- Update ICD-10 codes included on requisitions or diagnosis letters from ordering providers.
- Obtain information required to submit clean claims.
- Submit claims (manually or electronically) to insurance payers in a timely manner.
- Investigate and resolve rejected/denied claims and resubmit for payment to insurance providers and/or patients.
- Prepare, verify, and electronically submit or initiate periodic billing statements to customers/clients in a timely manner.
- Perform account collection activities as required.
- Reconcile daily cash reports as required.
- Review and respond to correspondence in accordance with company policies and procedures.
- Assist in the preparation of reports as required.
- Adhere to confidentiality, safety, compliance, and legal requirements.
- Maintain consistent and reliable attendance and comply with company guidelines on attendance.
- Perform other duties as assigned.
Qualifications
- Medical coding (ICD-10, CPT, HCPCS) knowledge preferred.
- Manual/electronic claim filing and processing knowledge preferred.
- Knowledge of healthcare billing practices is preferred
Screening Criteria
- High school diploma or an equivalent combination of education and related work experience.
- Minimum one (1) year office experience required, preferably in a medical billing environment.
- Must have a stable employment history.
