Nasheryl Terrell of Lake Wales, Florida, has been accepted for admission to Troy University. Troy University is a public, historic, international university with more than 145,000 alumni. Students...
October, 02 2017 - Verified by Troy UniversityAssists patients by determining needs, scheduling or canceling appointments, or referring to correct staff person
Maintains and updates schedule of medical service providers' availability; maintains contact with patients, notifying them of any scheduling change
Maintaining databases, faxing and scanning patient histories
Updating patient account information
Organize inpatient and outpatient claims for both electronic or hard copy mail to be forwarded to the appropriate payers
Review claims to make sure that payer specific billing requirements are met
Follow-up on billing with payers
Review and appeal unpaid and denied claims
Determine and apply appropriate adjustments
Answer inquiries and update accounts as necessary
Manage the daily workflow of patient collectors and payment posters
Review and expedite patient/insurance refunds
Monthly reports
Develop Policy and Procedures
Oversee proper handling of patient accounts such as bad debt write-offs, collection agency placement and patient counseling
Monitor the flow of inbound and outbound patient calls to assure adequate handling
Calling on monthly A/R reports
Post insurance/patient payments and denials
Review and appeal unpaid and denied claims
Balance daily postings
Monitor employee performance of both patient collectors and insurance collectors
Train new hires
Coordinate daily workflow
Maintain and monitor accounts receivables from payers
Review claims to insure billing requirements have been met
Submit both electronic and paper claims
Assist in the posting of payments from both payers and patients
Work directly with the insurance companies and patients to get claims processed and paid
Phone calls third party payers to obtain current account status information
Prepare both inpatient and outpatient claims for both electronic or hard copy mail to be forwarded to the appropriate payers
Review claims to make sure that payer specific billing requirements are met
Review and appeal unpaid and denied claims
Determine and apply appropriate adjustments
Answer inquiries and update accounts as necessary
Contact clients for payment of delinquent accounts
Research and resolve customer complaints with their timeshare
Make management decisions in the absence of the supervisor