Overview:
Responsible for generating, submitting, and tracking medical claims to ensure accurate and timely reimbursement for healthcare services.
Core Responsibilities:
- Prepare and submit electronic or paper claims to insurance companies and payers.
- Review billing data for accuracy and completeness before submission.
- Follow up on unpaid or denied claims, resubmitting as necessary.
- Resolve claim rejections and correct coding or documentation errors.
- Post payments, adjustments, and denials to patient accounts.
- Maintain knowledge of billing regulations, payer guidelines, and compliance standards.