Protouch Staffing
Barnesville, OH
Essential Job ResponsibilitiesResearch and resolve claim denials and rejections received from internal billing staff, insurance payers through Electronic Remittance Advice (ERA), and clearinghouses.Accurately post insurance payments, denials, and adjustments to patient accounts.Follow up on denied, rejected, unpaid, and incorrectly paid claims to ensure proper resolution.Submit claims through the MITS system when required.Split Medicare claims accurately according to applicable billing guidelines.Complete and fax required documentation for workers' compensation claims.Print and submit paper HCFA/CMS-1500 claims to insurance companies that do not accept electronic submissions.Reconcile patient accounts and insurance claims to ensure billing accuracy.Review claims for completeness and accuracy before submission.Attach supporting documentation to claims and prepare documentation for appeals when necessary.Contact insurance companies to resolve incorrect payments, claim discrepancies,...