Mon Yough Community Services Inc
McKeesport, PA, USA
Medical Billing Specialist SPECIFIC RESPONSIBILITIES: Generate primary and secondary paper bills according to established procedures. Edit paper claims before mailing. Perform claim follow up on denials quickly and accurately from assigned payers to ensure revenues are received timely. Run 837 files according to established procedures. Resolve any validation issues Accurate and timely data entry into payer websites for original claim submissions and/or corrected claims submissions. Verify and post remittance from assigned payers. Re-bill accounts as necessary to ensure an open insurance receivable against which a payment can be applied. Thoroughly research questionable/unidentified payment in order to post properly or refund to payer per payer guidelines. Work with payers and subscribers to resolve issues and facilitate prompt payment of claims. Verify NAP issues and work to resolve. Identify and communicate to up-line delays effecting balancing issues, new codes, or adjustments....