Aprima

Maintenance of account which includes AR follow up, payment posting & balancing, filing claims & managing rejections, as well as generating statements and receiving inbound patient calls. Responsibilities: • Contact insurance companies regarding claims. • Process and follow up on appeals to insurance companies. • Filing of all claims. • Post and balance payments, if applicable • Maintain productivity standards and goals set by the department and/or manager. • Maintain standard quality measures and goals. • Proactively resolve any cash restraining issues by seeking out and identifying trends in each facility’s AR • Follows up on non-responded and denied insurance claims for all third-party carriers (Self-Pay, Private, HMO/PPO and Gov’t payers). • Processes insurance/patient correspondence with insurance carriers to resolve adjudication issues. • Resolve any issues affecting reimbursement and/or adjudication in a timely manner • Available to patients and clinical departments...

Maintenance of account which includes AR follow up, payment posting & balancing, filing claims & managing rejections, as well as generating statements and receiving inbound patient calls. Responsibilities: Contact insurance companies regarding claims. Process and follow up on appeals to insurance companies. Answer patient inquiries. Filing of all claims. Post and balance payments, if applicable Maintain productivity standards and goals set by the department and/or manager. Maintain standard quality measures and goals. Proactively resolve any cash restraining issues by seeking out and identifying trends in each facility’s AR Follows up on non-responded and denied insurance claims for all third-party carriers (Self-Pay, Private, HMO/PPO and Gov’t payers). Processes insurance/patient correspondence with insurance carriers to resolve adjudication issues. Resolve any issues affecting reimbursement and/or adjudication in a timely manner Available to patients and...