In some cases, insurers know owners have some water - related damage because of comprehensive loss underwriting exchange (CLUE) reports, which are filed any time a homeowner makes
an inquiry about filing a claim, even if they decide not to.
Duties may include but are not limited to: • Review charges and
file claims electronically • Post insurance and patient payments • Run error reports and make corrections as needed • Work denied or incorrect
claims • Review accounts for collection and send to outside agency if necessary • Process and send patient statements • Prepare patient and insurance refund requests and respond to requests for recoupment and / or overpayment from an insurance company or payer • Answer and resolve all patient
inquiries about payments and insurance • Answer requests and
inquiries from insurance companies and other agencies seeking information related to
claims • Stay informed of insurance news and regulation changes • Ensure compliance with Medicare and third party payers» procedures and protocol • Assist all employees in the understanding of new policies implemented by insurance carriers • Maintain EOB
files EDUCATION AND EXPERIENCE: • A minimum of a High School diploma • A minimum of five years of billing experience in a medical office setting.