Ensures the timely collection of payments from patients and insurers through accurate billing, collections and appeals processes.
Duties/ Responsibilities

• Proactively prepares patient appointments with updated insurance, PA’s, referrals, credits, balance due and any other information that is necessary for front desk, CA’s and doctors to know for each appointment. 
• Reviews patient charges for accuracy and completeness (e.g., ICD10 and CPT coding, modifiers, pre-authorizations and referrals) and triages issues before submitting for payment.
• Submits accurate and timely insurance claims.
• Proactively monitors, identifies and resolves any insurance claims to fix in a timely fashion.
• Seeks out and collaborates with Business Office Manager and IOC staff to implement workflow, procedure and policy improvements to enhance the patient experience and smooth operations.
• Communicates effectively and professionally with patients, providers, insurers, adjusters, attorneys and others on billing-related issues.
• Complies with relevant patient privacy and billing regulations, including HIPAA, Medicare, and state and federal guidelines.
• May provide back-up support to Front Desk team, as needed.