HIPAA Certified Medical Biller/A/R Specialist/Data Entry

I verify invoices against purchase orders and ensure goods or services are received before issuing payment to vendors. I assemble and review invoices to be completed for payment. I prepare vouchers listing invoice numbers, dates, vendor addresses, item descriptions, amounts, and coding per accounting policies and procedures I do bank reconciliation. I maintain meticulous records of outstanding payables on a monthly basis

Check and validate the necessary documents needed for claims submission. Do charge entries and submit claims through our billing system Review CTP codes and patient information to ensure all info is correct. Follow up on open claims to ensure timely submission before insurance deadlines. Allocate check payment or electronic fund transfer (EFT) and post it on the AR ledger. Prepares Statement of Reconciliation for insurance companies to compare provider claim balance against insurance records. Send Statement of Account through emails to insurance companies on a monthly basis. Call insurance when necessary to determine the reason for denial and reprocess claims.

Perform posting charges. Ensure patient’s medical information is accurate and up-to-date. Assist in patient’s inquiries with benefits, payments, and eligibility. Perform completion of claims to payers. Conduct duties in a professional and timely matter. Submit billing data to appropriate insurance providers. Process claims and resolve denials to ensure maximum reimbursement. Follow up unpaid claims to appropriate parties/ payers. Do medicare and medi-cal reviews Review remits and payer correspondence and escalate any identified issues to appropriate areas for review and response to expedite claims resolution. Insurance verification, authorization, and appeals Analyze EOB and remits

Coordinate with Network Providers regarding denied claims and rejected claims on how they can resubmit the claim. Assist providers with the onboarding and credentials processes. Review contract requirements with the providers. Enter and maintain provider information in the database system.