Ensuring accuracy in medical billing codes (ICD-10, CPT) to minimize claim rejections and maximize revenue cycle efficiency.

Managing and resolving claim denials by identifying root causes and implementing corrective actions to improve payment rates.

Analyzing accounts receivable data to identify trends, track aging, and implement strategies for timely payment collection.

Communicating with insurance companies to verify patient eligibility, obtain prior authorizations, and resolve billing discrepancies.

Preparing and submitting clean medical claims to insurance payers, adhering to coding and billing guidelines.

Reviewing patient medical records to ensure accurate and complete documentation for billing purposes.

Following up on outstanding patient balances and implementing collection procedures to recover overdue payments.

Generating and analyzing reports on key performance indicators (KPIs) related to billing and accounts receivable.

Staying updated with changes in medical coding, billing regulations, and payer policies to ensure compliance.

Collaborating with healthcare providers and administrative staff to address billing-related inquiries and resolve issues.

Maintaining patient confidentiality and adhering to HIPAA regulations in handling sensitive medical and financial information.

Processing patient refunds and adjustments accurately and efficiently, following established procedures.

Accurately post payments from various sources (insurance, patients) into billing systems.

Submit electronic and paper claims to insurance companies promptly and accurately.

Analyze and resolve claim denials, appealing when necessary to maximize revenue recovery.

Reconcile patient accounts and resolve discrepancies to ensure accurate financial records.

Verify patient insurance coverage and eligibility before service to prevent claim denials.

Generate and send patient statements, addressing billing inquiries and payment arrangements.

Proactively follow up on outstanding accounts receivable to ensure timely payment.

Review medical codes (CPT, ICD-10) for accuracy and compliance before claim submission.

Generate AR reports and analyze data to identify trends and improve revenue cycle performance.

Ensure compliance with billing regulations (HIPAA) and coding guidelines.

Establish payment plans with patients.