Because the California Longitudinal Pupil Achievement Data System, known as CALPADS, isn't collecting all the data that's needed, CORE plans to work with a third - party data
collection service
run by a non-governmental
agency: The John W. Gardner Center for Youth and Their Communities at Stanford University.
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.