PI and WC Biller
Job Description
Job Description
Salary:
- Prepare and submit claims, electronically or by paper, for Clinic, Surgical, Physical Therapy & Chiropractic departments to various insurance companies.
- Post Payments for Clinic, Surgical, Physical Therapy & Chiropractic departments.
- Follow up with Doctors and other clinical staff for any missing information as it pertains to billing.
- Verify benefits or obtain authorization, referrals, etc. as needed.
- Medical coding:Creates accurate medical coding.
- Billing forms:Submits billing forms to the Workers' Compensation
- Review and follow-up:Reviews the processing and payments, and follows up on claims that are denied.
- Appeal any and all denials for Clinic, Surgical, Physical Therapy & Chiropractic departments.
- Communicate benefits to the Medical Assistants, Front Desk & Physical Therapy Department by set deadlines.
- Explain benefits or answer any other insurance related questions from patients.
- Analyze, prepare and mail patient statements, implement and follow up on patient payment plans and collect patient balances.
- Resolve any patient complaints in a professional and courteous manner.
- Prepare accounts for collection agency that have been deemed non-collectible.
- Meticulous Accounts Receivable collection and follow-up with insurance and patients weekly
- Presenting weekly reports showing progress.
- Review Charts and Submit WMC Department Authorization Requests.
- Follow up with WMC Coordinator, and or Front Desk to obtain proper insurance and/or billing information.
- Answer e-mail and/or voicemails in a timely and professional manner.
- Special projects as needed when determined by supervisors or management.
- Be responsible for maintaining accurate records and providing detailed, professional notes in patient files.
- Review Explanation of Benefits to determine next appropriate steps to seek authorization for patient treatment
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