Worker's Compensation and Personal Injury Medical Insurance Biller

Job Description

Job Description

Salary:

• Prepare and submit claims, electronically or by paper, for Clinic, Surgical, Physical Therapy & Orthopedic departments to various insurance companies.
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  Post Payments for Clinic, Surgical, Physical Therapy & Orthopedic departments.
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  Follow up with Doctors and other clinical staff for any missing information as it pertains to billing.
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  Verify benefits or obtain authorization, referrals, etc. as needed.

• Medical coding:Creates accurate medical coding.

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  Billing forms:Submits billing forms to the Workers' Compensation
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  Review and follow-up:Reviews the processing and payments, and follows up on claims that are denied.
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  Appeal any and all denials for Clinic, Surgical, Physical Therapy & Orthopedic departments.
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  Communicate benefits to the Medical Assistants, Front Desk & Physical Therapy Department by set deadlines.
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  Explain benefits or answer any other insurance related questions from patients.
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  Analyze, prepare and mail patient statements, implement and follow up on patient payment plans and collect patient balances.
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  Resolve any patient complaints in a professional and courteous manner.
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  Prepare accounts for collection agency that have been deemed non-collectible.
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  Meticulous Accounts Receivable collection and follow-up with insurance and patients weekly
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  Presenting weekly reports showing progress.
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  Review Charts and Submit WMC Department Authorization Requests.
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  Follow up with WMC Coordinator, and or Front Desk to obtain proper insurance and/or billing information.
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  Answer e-mail and/or voicemails in a timely and professional manner.
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  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