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Medical Billing / AR 1
Submit medical claims to insurance companies and payers such as Medicare and Medicaid.
Timely submission of technical or professional medical claims to insurance companies.
Obtain referrals and pre-authorizations as required for procedures
Check eligibility and benefit verification Review patient bills for accuracy and completeness and obtain any missing information
Prepare, review, and transmit claims using billing software, including electronic and paper claim processing
Call insurance companies regarding any discrepancy in payments if necessary
Research and appeal denied claims
Answer all patient or insurance telephone inquiries pertaining to assigned accounts.
Set up patient payment plans and work collection accounts
High school diploma
2 years of data entry experience
Knowledge of business and accounting processes
Knowledge of medical terminology
Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems