The Commercial Accounts Receivable Representative is responsible for preparing and submitting claims for accounts to ensure timely reimbursement, investigating and processing refunds when warranted
Prepare, edit and submit account billing in accordance with payer guidelines. Ensure all claims issues are resolved and submitted accurately and timely per insurance guidelines.Verify patient’s insurance eligibility.Submit system payer/fee schedule changes when required to supervisor.Submit all required documentation with claim. Updates patient demographics changes and performs required rebilling. Requests necessary documentation when missing from client, physician or patient as appropriate.Access client files if necessary to verify information.Respond to verbal and written insurance or responsible party inquiries regarding account status within policy and procedure timeline. Research accounts and document follow up ...