Key Responsibilities:
Accounts Receivable Management:
Contact patients and insurance companies to follow up on unpaid or denied claims.
Review and analyze accounts to identify outstanding balances and any discrepancies.
Verify patient information and insurance details to ensure accurate billing and payment processing.
Claims Resolution:
Investigate and resolve issues related to denied or delayed claims by reviewing claim status and working with the appropriate parties to resolve discrepancies.
Communicate with insurance companies to appeal denied claims and secure payment.
Payment Collection:
Negotiate payment plans with patients when necessary and ensure timely collection of outstanding balances.
Process and apply payments to patient accounts accurately and efficiently.
Customer Service:
Provide exceptional customer service by addressing patient inquiries and concerns in a professional and empathetic manner.
Educate patients on their financial responsibilities and insurance coverage.
Documentation and Reporting:
Maintain accurate and detailed records of all communications, payments, and transactions.
Generate and review reports on accounts receivable performance, including aging reports and collection metrics.
Compliance and Best Practices:
Ensure all activities comply with healthcare regulations, including HIPAA and other relevant guidelines.
Stay informed about changes in billing practices and insurance policies to ensure accurate and compliant billing.