Fluency in both written and spoken Еnglish
Experience in a similar position for at least 1 year
Ability to check benefits/eligibility over the phone and online (to make sure that there will be a payer before the patient is admitted to the facility)
Ability to check authorization status over the phone and online (checking the auth levels; number of days approved, last covered date, etc.)
Working with Census (checking the information in the system before sending the claims to the insurance)
Checking the claims over the phone and online
Working on the case of the patient until the full payment is received (sending the claims for reprocessing in case it’s denied incorrectly, sending corrected claims or appeals)
Preparing letters/bills to patients and discussing the balances with the patients over the phone
Posting payments into the system
Generating the reports/aging to make sure that all the payments were received

Support/ MedBilling manager

Summary