Primary: Function: Responsible for maintaining patient accounts and submitting Home Medical Equipment claims to various insurance companies for payment.
Responsibilities:
1. Analyze certificates/prescriptions for proper diagnosis/prognosis pertaining to insurance reimbursement of services provided.
2. Prepare patient account charges for input into computer system and submission to insurance companies.
3. Analyze needs of consumers and healthcare professionals to expedite proper service/care requested.
4. Contact physician offices for proper certificates/prescriptions required to bill insurances.
5. Direct patient account claims to proper insurance carriers for reimbursement via electronic and paper billing.
6. Working knowledge of ICD-10 codes and medical terminology.
7. Process claim payments and adjust accounts accordingly.
8. Use aging/computer reports to track unpaid claims and initiate appropriate follow-up action.
9. Perform a variety of typing and clerical duties as necessary.
Specifications:
1. High School Diploma or Equivalent.
2. Medical Terminology and one year's job related experience or equivalent is required.
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