Central Billing Representative II
First Choice Community Healthcare · Albuquerque, New Mexico, US
Description A. POSITION SUMMARY Under the supervision of the Central Billing Supervisor who reports to the Director of Revenue Cycle Management, the Central...
Job description
Description A. POSITION SUMMARY: Under the supervision of the Central Billing Supervisor who reports to the Director of Revenue Cycle Management, the Central Billing Representative II is responsible for all patient accounts receivable functions as assigned. Reconcile, research, correct and submit third party claims and resubmit errors or denied claims. Communicate with insurance companies and government payers to resolve claim issues and ensure payment. Research and correct ICD-10, CPT coding, modifiers, revenue coding, occurrence codes and value codes as appropriate. Provide customer service to patients by researching billing issues and resolving the issues. Reconcile remittance advice and patient accounts and resolve discrepancies. B. ESSENTAIL DUTIES AND RESPONSIBILITIES: - Reconcile, review, research, coordinate and justify changes to claim forms and submit completed claim forms to third party payers. - Follow up on claims denials, make appropriate corrections, obtain approvals and resubmit claims denials for payment; appeal denials through the payer required appeals process. - Research unpaid claims; contact patients to obtain necessary information to assist with the claims pr...