The specialist will manage the full billing cycle, including claim submission, payment posting, and A/R follow-up for behavioral health programs. They are responsible for resolving claim denials, monitoring clearinghouse rejections, and ensuring compliance with HIPAA regulations.
The specialist will manage accounts receivable and denial management for a chiropractic practice by following up on unpaid claims and resolving denials. They are responsible for preparing corrected claims, submitting appeals, and documenting all activities within the practice management system.
The specialist is responsible for calling insurance companies to resolve unpaid claims, manage prior authorizations, and verify patient eligibility. They must also document all actions taken and escalate stalled claims to the billing team while maintaining HIPAA compliance.
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.
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.
