Billing Specialist/patient Care Navigator - New York, United States - Coding Advantage, LLC

Description

• Greeting all visitors in person and on the phone in a positive and professional manner.
• Answering telephone, screening, and directing calls, taking, and relaying messages as needed.
• Checking out patients, including scheduling future appointments and answering any questions.
• Collecting, processing, and posting payments for all services rendered both in person and over the phone.
• Checking eligibility and benefits verification as needed. Validation of charges prior to claims submission for optimal reimbursement.
• Post and validate payments received from commercial carriers. Typically patients receive reimbursement directly since office is out of network, however some insurance carriers will pay the provider.
• Preparing, reviewing, and transmitting claims using our designated billing platform, including electronic and paper claim processing.
• Following up on unpaid claims within industry standard revenue cycle time frame.
• Calling insurance companies regarding any rejections or denials as an advocate to our patients.
• Identifying and billing secondary or tertiary insurances.
• Reviewing accounts for insurance or patient followup (patient may need called to clarify coverage updates).
• Extensive knowledge about billing to ensure accurate communication with either the insurance carrier or the patient.
• Managing patient revenues deposits and running monthly reports as required by practice.
• Maintaining a system of controls for cash receipts, and daily reconciliation processes to ensure proper handling of monies received.
• Organizing and maintaining a tidy and professional appearance of the reception area.
• Other duties as necessary to achieve practice needs and goals.

• New York, NY (required)