Prepare, submit, review, and follow up on insurance claims, including resolving rejections and denials, preparing appeals, and processing correspondence and refunds. Maintain accurate accounts receivable records, identify underpayments, address billing questions and complaints, and document collection activities while following HIPAA requirements.
The EMR Specialist serves as the subject matter expert for athenahealth, managing system configurations, troubleshooting workflows, and providing support to providers and staff. This role also involves coordinating with vendors, testing new software releases, and training employees on best practices.
The specialist is responsible for verifying workers' compensation injuries, auditing medical records for billing accuracy, and serving as the primary point of contact for adjusters and case managers. They also facilitate physician understanding of treatment guidelines and manage the timely follow-up of unpaid claims.
The Referral Coordinator serves as the primary point of contact for patients, ensuring a positive experience through professional communication and efficient service. Responsibilities include managing appointment scheduling, handling clinical messaging in the EMR system, and coordinating referrals with external provider offices.
