Verify all relevant information; tests, lab results, operative reports, procedures, etc are included.
Verify the concluding diagnosis is correctly indicated for the care and treatment delivered. Assign and input the correct diagnostic code to insure maximum and timely reimbursement.
Process all insurance claims and procedures for office visits, procedures and medications.
Process all patient statements; cycle billing
Answer all billing questions from patients and insurance carriers.
Follow-up on all denied or down coded services with insurance companies.
Follow-up all patient balance past due accounts.
Arrange payment plans when needed.
Print and monitor aged accounts receivable reports.
Alert management when account should be sent to collections.
Alert management regarding any problems with particular carriers.
Inform and update management regarding HMO and Managed Care billing regulations.
Handle any attorney correspondence.
Process disability, no-fault and compensation claims.
Process and follow-up on Managed Care plans, Medicare and Medicaid claims.
Post all mail and office payments from patients and insurance carriers.
Enter withholdings, when applicable.
Alert management of claim denial and down-coding situations.
Process secondary insurance claims.
Prepare and balance daily reports for monies collected.
Ensure HIPAA guidelines are followed at all times.