South Heart Clinic
Harlingen, TX, USA
Position Summary Responsible for all claim submission, electronic and paper, ERA posting, Medicare A/R, and Medicare aging. Cross-trained to cover other billing department positions. Duties & Responsibilities include but are not limited to: Transmits claims daily and generates proper reports to ensure claims are submitted properly. Corrects rejected claims and communicates with staff accordingly to educate and correct issues. Responsible for keeping in contact with the patient management system, vendors, and clearinghouse on electronic changes, rejections, and denials or software problems regarding ERA's and claim submission. Responsible for making sure referrals and authorizations are attached to claims. Responsible for working and appealing Medicare denials, printing out secondary claims, and attaching Medicare explanation of benefits. Counseling patients in the office about account balances, making payment arrangements, and taking payments from patients....
