- Prepare, review, and submit insurance claims (Medicaid and other payers)
- Verify ICD-10, CPT, and HCPCS codes for proper reimbursement
- Submit claims electronically and track claim status
- Investigate denied or rejected claims and prepare appeal documentation
- Resubmit claims and follow up with payers
- Maintain organized billing records and claim documentation
- Ensure compliance with HIPAA and healthcare regulations
- Track accounts receivable and monitor aging claims
- Improve billing workflows to maximize reimbursement
HIPAA