Patient verification: Checking patient insurance eligibility and verifying coverage details to ensure accurate billing.
Claim scrubbing: Reviewing medical records and claims for accuracy before submission to identify potential errors and prevent claim denials.
Claim follow-up: Monitoring claim status, contacting insurance companies to follow up on outstanding claims, and appealing denied claims.
Patient billing: Generating patient invoices for outstanding balances after insurance payments and communicating with patients regarding payment options.
Payment posting: Recording received payments from insurance companies and patients into the billing system.
Account receivable management: Tracking outstanding patient balances and managing collections efforts to ensure timely payment.
Claim submission: Creating and submitting accurate medical claims to insurance companies electronically or via mail, including patient demographics, diagnosis codes, procedure codes, and billing information.