This position conducts follow-up activities with our medical insurance partners to ensure prompt reimbursement to the organization, as well as analyzes rejected claims to determine cause of denial and initiates appropriate action needed in order to adjudicate claims. This role communicates with Practice personnel, external organizations and payers to determine and obtain missing, incomplete or required documentation, and uses all available tools in order to work efficiently and expedite claim adjudication including payer portals, work queues and Work Bench reports.
Some medical insurance follow up experience is required.
Submit claims to insurance.
Review delinquent accounts and call for collection purposes.
Maintain strict confidentiality.
Ensure healthcare facilities are reimbursed for all procedures.
Handle information about patient treatment, diagnosis, and related procedures to ensure proper coding.