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 Medical Billing and Coding

Medical Billing Companies

8/24/2012 - Posted by:
Med Data Care Pro LLC
Address: Media Relations 108 West, 13th street
Wilmington, DE 19038
Phone: 888-357-3226
Alt. Phone: 888-357-3226
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In-house Medical Biller for Mental Health

Responsibilities include:

  • Insurance benefit verification
  • Submit electronic, HIPPA 837, and paper claims to primary and secondary payers
  • Apply insurance payments, HIPPA 835 to data reports and PMS
  • Independently manage and monitor daily work related to resolution of third-party payer accounts receivable and favorable resolution of denials and underpayments.
  • Review remittance codes from EOB’s to resolve billing denials and reprocess claims
  • Identify and resolve non-payment of claims issues-heavy emphasis on collections
  • Determine status of claims based on aging reports
  • Monitor AR for delinquency through related reports on a regular basis
  • Prepare and maintain correspondence with insurance companies and answer correspondence from insurance payers
  • Prepare, submit and track payer appeals/adjustments/write offs
  • Manage patient information within a PMS
  • Compose, monitor, and adjust payroll reports based on billing submitted and billing paid
  • Create efficient processes, procedures and implementation plans
  • Directs, trains, and supervises employees engaged in the revenue cycle process
  • Assure the company adheres to all Medicare/HIPPA billing rules and regulations
  • Provide subject matter expertise regarding specific payers to all business/office staff
  • Investigate, analyze and resolve departmental issues
  • Lead in the implementation of the standard workflows, policies, procedures, and performance for the following: Billing Verification, Data input, medical coding, demographic and charge entry, claim creation, EDI 837 batch billing, Payroll entry, Denial management, EDI 835 payment posting, and Payroll reversal
  • Practice Management Software implementation and administration
  • Report and communicate weekly with administration regarding departmental issues and revenue cycle information
  • Establishes and effectively communicates priorities to each billing staff that is consistent and supportive of the priorities and vision for the company
  • Perform telephone, documentation, and written follow-up with insurance companies, third payer
  • EDI implementation and oversight
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