Feb 15, 2025
ESSENTIAL FUNCTIONS:
• Handles Third party payer claims according to contract terms.
• Runs assigned daily billing reports to determine account needs and updates files with
current billing information
• Reviews and confirms that appropriate billing documentation has been obtained.
• Maintains knowledge of all insurance guidelines and applies that knowledge to billing as
required by individual contracts
• Identifies, monitors, and corrects electronic and paper claims to avoid delay in
processing.
• Check all claims were loaded and file was received.
• Verifies patient eligibility, authorizations and demographic information to ensure
accuracy of imported/keyed data.
• Ensures that all secondary billing is completed and billed to respective payor.
• Works unbilled revenue reports to verify pending claims and bring them to closure.
• Posting of all Electronic and paper EOB’s.
• Reconciles open accounts to...
Complete Healthcare Staffing
Holyoke, MA, USA