Experience in Out Of Network (PIP, Worker Comp. )Negotiations with adjusters Check eligibility and benefits verification.Review patient bills for accuracy and completeness and obtain any missing information
· 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
· Managing health insurance claims follow-up with insurance companies and patients.
· Managing claims denials and appeals processes.
· Keep informed of all the changes in rules and regulations in insurance carriers
Ensure Evaluation targets are metEnsure agents are following the billing procedures correctlyEnsure agents are entering the correct codes in SystemEnsure that agents are using the correct combinations and most profitable combinationsE