Avem Health Partners
Oklahoma City, OK, USA
JOB PURPOSE: Assure timely and accurate submission of hospital claims (electronic and paper) to ALL insurance carriers. ESSENTIAL FUNCTIONS INCLUDE BUT NOT LIMITED TO: Prepare, review, and transmit claims using billing software, including electronic and paper claim processing. Identify and bill secondary or tertiary insurances. Work rejected claims for timely re-submission. Assure claim contains pertinent and correct information for processing. Research previously processed claims when needed. Identify billing patterns, processing errors and/or system issues that inhibit the final adjudication of claims and report to Revenue Cycle Manager. Coordinate and resolve any and all issues related to claims processing with the appropriate departments as required. Research, resolve, and respond to claim re-submission appeals and inquires for Medicaid. Reviews system generated work list, reports and/or aged trial balances to resolve accounts which have not been paid...