It is the responsibility of the job seeker to validate the information posted for each job. AAPC cannot validate or guarantee the accuracy of the information posted below.
A. Identifies delinquent accounts, aging period and payment sources. Processes delinquent unpaid accounts by contacting patients (if applicable) and third party reimbursers.
A. Oversees claim processing and payments to third party providers. Answers associated correspondence.
B. Sends denial letters on claims and follow-up on requests for information.
D. Audits and reviews claim payments reports for accuracy and compliance.
E. Researches and resolves claim problems.
F. Requests information needed (medical records, charge corrections) from physician offices as needed: maintains information until claim is paid, follows turnaround time within standards
G. Requests posting corrections, refunds or adjustments as needed.
H. Researches denied claims within two days 98% of the time
I. Updates patient information, files insurance to correct carrier as needed, files corrected claims and additional information requested by carrier within two days of receipt 98% of the time
J. Appeals denied claims adhering to payer policy
A. Files hard copy secondary claims with primary EOB as needed
B. Requests records or pulls dictation to file workers comp claims as needed
C. Refiles claims via vendor or hard copy as needed
D. Maintains required billing records, reports, and files.
E. Investigates billing problems and formulates solutions.
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