1. Submit third party payer primary, secondary, tertiary and corrected claims utilizing electronic billing software.
2. Reconcile all confirmation reports post-electronic submission from all third party payers. Evaluate and process the needed corrections and revalidate the claim electronically.
3. Analyze and take appropriate action on payer rejections and denials.
4. Aggressively performs follow-up and collections from the third party payers.
5. Verify payments though manage care payer software for accuracy and aggressively pursue collections on underpayments.
6.Negotiates reimbursement rates with non-contracted third party payers and case managers.
7. Stays current on rules and regulations affecting billing, reimbursement and submission of claims.
8. Process correspondence received from third party payers and patients.
9. Performs other related responsibilities as required or requested.
10. Demonstrates service excellence.
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ECU Health
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