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- Use billing software to perform data entry and prepare hospital/physician bills for submission to third-party payers
- Timely submission of primary/secondary hospital, physician, and clinic claims
- Work A/R reports to follow up on un/under- paid claims on Medicare, Medicaid, Commercial, Auto Liability, and Work Comp claims according to contractual requirements and provider policy
- Identify/correct claim errors and system edits preventing successful electronic filing
- Ensure timely submission of unprocessed, rejected or returned claims.
- Submit paper claims as may be required, i.e., work comp
- Practice proactive denials management through effective communication between the Payers, MRS, and clients.
- Prepare and submit 1st and 2nd level appeals as necessary
- Practice strict adherence to HIPAA and all required Compliance components
- Other duties as assigned
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