Responsible for the accurate billing and collection of third party and patient payments for products and services rendered.
Submit timely, accurate invoices to payer for products and services provided.
Correctly determine quantities and prices for products and services billed.
Verify services and products are correctly authorized and required documentation is on file.
Ensure all Medicare documentation is received from the medical provider and submitted to Danville.
Review reports to maximize generic substitution opportunities.
Manage and collect patient balances prior to prescription dispensing, or in accordance with company policy.
Ensure all required documentation for billing is completed and accurate prior to claim submission (i.e., medical claims billing).
Process reimbursement checks/payment in accordance with policy.
Review price modify logs and ensure there are corresponding SDL (submit direct link) claims.
Review, research and resolve all third party chargebacks in a timely manner.
Assist with any third party audits, in accordance with company policy.
Process and file all SDL (submit direct link) claims in accordance with company policy.
Processing of prescription exceptions including prior authorizations, triaging of referrals to other Walgreens locations, and proactively identifying copay assistance opportunities.
Responsible for proactive communication to patients...
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