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Job Summary

This position involves verifying patient demographics and insurance information before submitting claims to insurance companies. You will also be responsible for preparing and submitting claims electronically or via paper format. Additionally, you will need to obtain authorization from insurance companies as required and follow up on denied or rejected claims.

Responsibilities

  • Verify patient demographic and insurance details prior to claim submission.
  • Prepare and submit claims electronically or via paper format to insurance companies.
  • Obtain authorization from insurance companies as needed.
  • Follow up on denied or rejected claims to facilitate timely resubmission.
  • Analyze and interpret insurance Explanation of Benefits (EOBs) to identify payment disparities.
  • Process patient payments, adjustments, and refunds within the billing system.
  • Provide professional responses to inquiries from patients, insurance entities, and healthcare providers.