- Computes patient fees and charges.
- Collects payments from patients (if necessary).
- Establishes and follows up on patient payment plans.
- Compiles billing data from electronic health record system, practice management systems, and other databases.
- Prepares and submits electronic claims to third party payers.
- Investigates and follows up with rejected claims.
- Maintains current knowledge of the basic and major medical, home health and hospice benefits.
- Maintains current knowledge associated with the billing methodologies of each plan.
- Performs insurance coverage and grant eligibility verifications by making field calls or using other verification tools
- Forwards verification information to Medical Intake Coordinator within 15 minutes of referral.
- Complies with all laws and regulations for the release of confidential patient records
- Follow up on outstanding required documentation, such as clinical and physician signatures.
- Maintain master medical record file.
- Log, scan and file signed orders upon receipt.
- Audit discharged patient records to ensure that all required documentation is present.
- Assists financial team with clerical tasks.
- Participates in quality management and quality assurance activities.
- Other tasks as assigned by the Billing Manager.
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Billing Clerk/Collector - Houston, United States - ABETTERHOMECARE
Description
Job Description
Job DescriptionSalary: $15.00 to $20.00Overview:
Responsible for the day-to-day operations related to billing and collections.
Duties and Responsibilities:
Follow established protocols for managing medical records through the normal office flow
Education, Experience, Licensure/Certification and Skills/Abilities Related Requirements:
High School Diploma required.
Associates Degree preferred. At least four (4) years of practical work experience.
Must have paid experience with medical claims coding/billing and medical insurance industry.
Each additional year of practical work experience beyond the required four (4) years can be substituted for one (1) year of college.
Continuing Education and Training Requirements:
Participates in trainings required by the funding source and/or as required by licensure