Location: all cities,TX, USA
Files insurance and collects on accounts assigned in a timely and accurate manner.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
* Reviews EOB/EOMB's for proper reimbursement.
* Resolves electronic claim rejections and Explanation of Benefits denials in a timely manner.
* Reviews and researches insurance correspondence and makes necessary corrections to ensure claims payment.
* Follows up on unpaid/unresolved account balances, including claims rejected electronically, EOB denial and working A/R aging reports as directed. Provides insurance carriers with requested information to facilitate payment.
* Regularly contacts Medicare, Medicaid and /or Commercial payors for resolution to claims not paid or claims not paid according to plan benefits.
* Performs claim appeals as required.
* Assists with credit balance resolution.
* Completes re-bill request as necessary to facilitate timely and proper claims payment.
* Follows up on unresolved account balances including RTP's.
* Prepares adjustment and write-off requests as necessary.
* Performs other duties and responsibilities as required or assigned.