- Review patient account setup in Practice Management Software to ensure the appropriate insurance carrier and provider profile are selected.
- Review and follow up on insurance carrier denials and underpaid claims according to contracted fee schedules.
- Appeal inappropriate denials by insurance carriers in a timely manner.
- Communicate with patients regarding questions related to their claims and coverage.
- Confirm the validity of overpayment refund requests from insurance carriers.
- Identify payer trends affecting revenue.
- Participate in one-on-one AR reviews with management.
- Identify coordination of benefits for patients with secondary and tertiary insurance.
- Set up patient payment plans and route potential delinquent accounts to collections.
- Attend and participate in monthly company and department staff meetings.
Benefits & Perks
- 401(k)
- Health insurance
Location
New Jersey, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 week ago