Researches claim rejections, make corrections, take corrective actions, and/or refer claims to appropriate colleagues to ensure timely and accurate claim resolution.
Proactively follow up on delayed payments by contacting patients and third-party payers and determining the cause for delay and supplying additional data as required.
May prepare special reports as directed by the Supervisor Billing and Follow-Up to document follow-up services, e.g., number of claims and dollars billed, claims edited, claims unprocessed, etc.
Assists in the training and education of Billing and Follow-up Representative I colleagues upon hire and ongoing, and as new systems, processes or payers are created.
Provides problem resolution to billing and follow-up issues as needed
Proficiency in Microsoft Office, including Outlook, Word, PowerPoint, and Excel.
Completion of regulatory/mandatory certifications and skills validation competencies preferred.
Excellent verbal and written communication and organizational abilities.
Strong interpersonal skills are necessary in dealing with internal and external customers.
Accuracy, attention to detail and time management skills.
Ability to work independently.
