This role is responsible for the timely billing of hospice and home health claims, including managing insurance denials and resolving payment discrepancies. The coordinator will also maintain account balances and communicate effectively with insurance payers and patients to ensure accurate reimbursement.
The representative will manage insurance claims and denials by communicating with payers, providers, and patients to resolve billing issues. They are also responsible for tracking payment trends and ensuring accurate account documentation to improve claim resolution processes.
The Refund Analyst is responsible for identifying and rectifying overpayments by reviewing credit balance reports and preparing refund documentation. They must also maintain productivity standards and ensure all correspondence is handled within established timelines.
The representative is responsible for investigating and resolving unpaid insurance claims while maintaining accurate documentation and productivity standards. They must also communicate effectively with supervisors regarding claim status and report denial trends to management.
