• Assess all insurance claims against patient services rendered and make a to do
list • Assist patients in filling our insurance claim forms and verify form data • Ask questions to assist in determining out any ambiguous information • Verify completeness of information on medical insurance forms • Post insurance billing information data into predefined database systems • Make
list of insurance companies to contact for billing purposes • Determine how to approach each insurance company on the
list, based on its reputation • Contact insurance companies to determine status of claims • Follow up on unpaid claims, including denial, exceptions and exclusions • Ask why claims have been denied and provide relevant correlating information • Resubmit denied claims with additional information to prove denial is inappropriate • Provide information to collection agencies regarding delinquent or past due accounts • Prepare and submit secondary claims for patients with more than one insurance coverage • Maintain understanding of
managed care authorizations and limit coverage to a certain number • Verify patients» benefits eligibility and coverage expanse • Maintain knowledge of ICD9 and CPT treatments to be able to handle data entry and claim check duties appropriately • Gather and maintain patient data including medical histories, insurance identification and
diagnosis