Job Description

Job Description

Job Description

• Study the most frequently used insurance plans to understand the various nuances to communicate with patients more effectively; document insurance information on the patient chart for quick reference
• Process and submit insurance claims daily, including secondary insurance billing
• Post all payments
• Monitor and follow-up on outstanding claims
• Note patient names and the amount they owe so collection over-the-counter can take place during the day
• Identify patients in the daily schedule who are a financial concern, note payment problems on the patient charts, and arrange a conference with them either before or at the appointment
• Record all financial discussions with patients on the chart and enter information into the computer
• Secure a signed financial treatment plan from each patient for diagnosed treatment(s)
• Contact patients who have not kept their financial agreement within a 5-day grace period to collect payment per the financial plan
• Prepare and mail patient statements each month on a regular billing cycle
• Make collection calls
• Solidify the financial agreement with the patient, such as payment amount and schedule
• Follow through with correspondence regarding collection when unable to contact the patient on the telephone
• Prepare and send uncollected accounts to collections or small claims court with employer approval, and follow through as needed. Represent employer in small claims court, if necessary
• Monitor patients who have been turned over to a collection agency
• Send information as requested by insurance companies: x-rays, charting, narratives, and other documentation for processing the claim when applicable
• Provide insurance predetermination documentation to patients, contact the patient to make financial arrangements, and schedule treatment
• Correspond with insurance companies; resolve payment delays, requests for additional information, or treatments that have been denied coverage
• Handle all inquiries concerning insurance daily

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