• Analyze billing procedures and modifiers to resolve billing issues, rejections, denials, and appeals.
• Work with Medicaid and all other governmental and commercial insurance carriers to resolve claim errors.
• Review billing charges and other data for accuracy and potential reimbursement enhancement.
• Obtain from applicable providers, clinic, and support staff complete diagnosis information to ensure proper assignment of codes.
• Respond to questions from staff, insurance carriers, and clients.
• Run, review, and summarize reports for billing, reimbursement, and accounts receivable.
• Work collaboratively with clinical and health information systems staff regarding billing/coding revisions in the electronic billing system.
• Work as part of a cross-functional team to ensure all services provided are coded and billed in a timely and accurate manner.
• Provide feedback on operational improvements to enhance the efficiency of charge capture to reduce denials and optimize overall reimbursement.
• Other duties as assigned