Job Responsibilities:

• Reviews and processes refund requests.
• Utilizes the necessary electronic and manual systems to identify and capture source documentation needed for the coding and generation of provider charges/claims.
• Performs the data entry role for all necessary billing and claims related functions including, but not limited to charge entry and payment posting.
• Answers phone calls and/or inquiries from patients, insurance carriers or other parties to assist in the submission, payment or clarification of claims or billing related issues.
• Carries out routine requests for information from any number of sources such as the practice management system, archived or scanned billing documents, or supporting documentation for prior charges.
• Provides various reports, both monthly and ad-hoc, as defined and requested utilized either the practice management system or an available external reporting solution.
• Performs the precertification process for scheduled procedures as necessary, including communication of any balances due to the patient.
• Works with Corporate and Department management to develop, maintain, and follow policies and procedures relating to and in support of the Department’s and Corporation’s Compliance Program for Professional Fee Reimbursement.
• Performs other duties as assigned or requested.