The specialist is responsible for submitting medical billing to payers and following up to ensure the adjudication and payment of individual claims. This includes performing comparative analysis for accuracy and communicating with insurance providers and patients to manage accounts receivable.
ThedaCare
3 Remote Job Openings at ThedaCare
Performs coding reviews for primary and specialty care services to ensure accurate reflection of services rendered using industry standard methodologies. Collaborates with providers to clarify documentation and manages coding inventory related to payer denials and claim edits.
The specialist is responsible for submitting medical billing to appropriate parties and following up to ensure the adjudication and payment of individual claims. This includes communicating with insurance payers and patients to manage accounts receivable and resolve unpaid or rejected claims.