- Verification of the patients demographics.
- Insurance cards verification and eligibility verification.
- Charges submission with correct CPT codes, cost, ICDs and modifiers.
- Charges Filing either through EDI or paper as per required.
- Posting and Verification of automatically posted payments.
- Manually posting of imbalance payments received through ERA/EOB posting that includes the Verification of posted payments through Reports.
- Re-billing of rejected claims from Clearing House / Payer & EOBs.
- Update of problem list of claims and EOBs.
- Keep the track of the soft and hard copies of super bills and EOBs and other scans received related to the practice.
- Report all the tasks done on daily basis.
- Perform job roles in compliance with IS Policies and Procedures and Acceptable usage of asset and services guidelines.
- Regulatory, contractual and IS Policies violations are reported immediately to supervisors or appropriate authorities for rectification and disciplinary actions.
- Support in performance of Risk Assessment.
- New and existing information in soft form or hard form is classified, labeled, controlled and secured as described in the appropriate IS procedures.
Skills Required:
- Excellent typing speed, Good IT and Computer Knowledge, Attention to Detail.
- Hardworking, Energetic, go-getter.
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