- Prepare, review, and submit electronic and paper claims to Medicare, Medicaid, commercial insurance providers, and other payers.
- Verify patient insurance eligibility, benefits, and coverage information.
- Monitor claim status and follow up on unpaid, denied, or underpaid claims.
- Investigate and resolve billing discrepancies and claim rejections.
- Post payments, adjustments, and patient balances accurately within billing systems.
- Communicate with insurance companies regarding claim submissions, appeals, and reimbursement issues.
- Ensure compliance with HIPAA, Medicare, Medicaid, and other applicable healthcare regulations.
EHRHIPAA