Provide end-to-end operational support to patients, including insurance appointments, invoicing, and general customer service.
Medical Insurance
- Responsible for accurate flow of medical information and patient data between physicians, patients, and third‑party payers.
- Use accurate codes to define diagnostics, treatments, and procedures and enter this information into the facility’s database following medical coding protocol to produce statements or claims.
- Act as a liaison between the facility and payment parties to investigate claims, verify information, and update the database when a claim is denied.
- Review patient medical records and communicate with medical billing specialists to ensure treatment codes are entered correctly.
- Submit claims, take timely approval of investigations and procedures.
- Investigate and report instances of insurance fraud, provide information and prepare documents for legal inquiries and ...