Medical Biller 1-2Yrs EXP -US HEALTH CARE NIGHT SHIFT-Dharma IT Solutions Private Limited-Hyderabad-walkins-MB001

  • Post Date : January 23, 2019
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Job Description

Medical billingis the process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a health care provider. Key Roles and Responsibilities are as follows:

Verifying patients’ insurance coverage
Handling collections and unpaid accounts by establishing payment arrangements with patients, monitoring payments, and following up with patients if or when there is a lapse in payment
Working directly with the insurance company, the patient, and the healthcare provider, to get a claim processed and ultimately paid
Managing the facility’s Account Receivable reports
Reviewing and appealing denied and unpaid claims
Using coded data provider by the medical coders to produce and then submit claims to insurance companies for payment
Answering any questions patients may have about billing
Getting in touch with collection agencies, figuring out if legal options should be pursued and testifying in hospital court cases, if needed
Knowledge of insurance guidelines especially Medicaid and Medicare
Call insurance companies regarding any discrepancies in payments, if necessary
If applicable, submit secondary billing in a timely manner with appropriate supporting documentation
Review patient bills for accuracy and completeness and obtain any missing information
Manages the bill queue on a daily basis

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