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.