JobMesh

Insurance Billing & Follow- Up Specialist

Ephraim McDowell Health · Danville, Kentucky, US

JOB SUMMARY: Under the direction of the Billing Supervisor, performs the insurance billing and follow up. Exhibits the F. I.

Job description

JOB SUMMARY: Under the direction of the Billing Supervisor, performs the insurance billing and follow up. Exhibits the F.I.R.S.T. values (Friendliness, Innovation, Respect, Service, and Trust). ESSENTIAL FUNCTIONS, DUTIES, AND RESPONSIBILITIES: - Performs all initial billing for all payers via paper and electronic claims submissions. - Reviews all billing claims for accuracy of charges and appropriate billing edits. - Maintains a working knowledge of billing requirements for all payers and makes the needed corrections to the claims prior to billing. - Demonstrates the ability to maneuver around the websites associated with your designated payer to check eligibility and claim status and stays current with any ongoing changes. - Performs timely follow up on all outstanding balances due from the insurance companies by working daily AR reports. - Reviews all credit balances that are due back to the insurance payers and able to process them appropriately. - Completes a daily productivity of follow up accounts worked from the AR maintaining an 85% monthly average. - Reviews patient registration information for accuracy. - Performs timely follow up to all Payer Rejections that come thru t...