The specialist will review claims for accuracy, resolve denials, and manage aged accounts receivable to ensure timely payments. They are also responsible for verifying patient eligibility and documenting all follow-up activities within the practice management system.
The specialist will perform data entry of patient demographics, insurance details, and charges into medical billing systems. Additionally, they will manage accounts receivable by following up on unpaid claims, resolving denials, and posting payments.
The specialist will manage provider and group enrollment with Medicare, Medicaid, and commercial payers while maintaining accurate credentialing profiles. They are responsible for tracking application statuses, ensuring compliance with HIPAA, and performing regular updates to provider records.
Post and reconcile patient payments, verify patient responsibility with the insurance A/R team, issue statements, and follow up on outstanding balances. Prepare patient A/R reports, update account information, document interactions, and escalate disputes or qualifying accounts while protecting patient information.
The role involves managing the full medical billing cycle, including coding encounters, submitting claims, and handling denials and appeals. You will also be responsible for documenting account activity and ensuring compliance with HIPAA regulations.
The coordinator manages new patient intake by verifying insurance eligibility, securing necessary referrals, and scheduling appointments within the EHR. They also provide remote front-office support by handling overflow calls and coordinating with the in-office team via Microsoft Teams.
The specialist will manage prior authorizations for surgical cases, verify insurance eligibility, and handle claims submission and accounts receivable. They are also responsible for resolving denied or unpaid claims and posting payments for the practice.
The biller manages the end-to-end revenue cycle in AdvancedMD, including charge entry, claim submission, denial resolution, and payment posting. They are also responsible for maintaining accurate patient records, verifying eligibility, and tracking authorizations to ensure timely reimbursement.
