Houston, TX 77001
Follows up with insurance company on unpaid or rejected claims.
Resolves issue and re-submits claims.
Prepares appeal letters to insurance carrier when not in agreement with claim denial. Collect necessary information to accompany appeal.
Prepares patient statements for charges not covered by insurance.
Ensures statements are mailed on a regular basis.
May work with patients to establish payment plan for past due accounts in accordance with provider policies.
Provides necessary information to collection agencies for delinquent or past due accounts.
Posts insurance and patient payments using medical claim billing software.
Perform "soft" collections for patient past due accounts. This may include contacting and notifying patients via phone or mail.
Follows HIPAA guidelines in handling patient information.
May periodically create insurance or patient aging reports using the medical practice billing software.
Understands managed care authorizations and limits to coverage such as the number of visits.
May have to verify patient benefits eligibility and coverage.
Ability to look up ICD 9 diagnosis and CPT treatment codes from online service or using traditional coding references.
Must have at least 3 years of experience in billing and collections. Must have experience in billing and collection for a Speciality clinic that performs outpatient procedures and diagnostic imaging. ENT billing experience in preferred but not required. CPC cerification is preferred but not required.