Works daily electronic billing file and submits insurance claims to third party payers.

Reviews, evaluates, and forwards manual patient account statements to payers that do not accept electronic claims or that require special handling such as client billing.

Documents billing activity on the patient account; ensures compliance with all applicable billing regulations and reports any suspected compliance issues to department leaders.

Reviews claims for accuracy and coordinates with ancillary departments as needed to provide information for audits/and or record reviews.

Based on electronic payers’ error reports, makes appropriate corrections to optimize the electronic claims submission process.

Pursues prompt follow-up efforts on aged accounts, which may involve helping to formulate written appeals.

Monitors claim rejections for trends and issues; reports these findings to supervisor or director.

Practices excellent customer service skills by answering patient and third party questions and/or addressing billing concerns in a timely and professional manner.

Assists in reviewing and/or resolving credit balances.

Participates in general or special assignments and attends required training.