Billing Manager

Prepare and submit insurance claimsCollect and enter claim informationFollow up with insurance carriers on unpaid or rejected claims. Resolve issues and resubmit claimsData entry on insurance records and medical billingCommunicate with staff and insurance companies about the insurance claims and paymentsManage electronic billingMaintain files on each insurance companyMaintain client files on insurance claims and paymentMaintain therapist insurance provider, state license and liability insurance filesEnter information necessary for insurance claims such as client, insurance ID, diagnosis and treatment codes and modifiers, and provider informationEnsure claim information is complete and accurateSubmit insurance claims to a clearinghouse or individual insurance companies electronically or via paper CMS-1500 or UB04 formPrepare appeal letters to insurance carrier when not in agreement with a claim denialCollect necessary information to accompany the appealFor clients with coverage by more than one insurer, prepares and submits secondary claims upon processing by the primary insurerFollow HIPAA guidelines in handling client informationUnderstand managed care authorizations and limits to coverage such as the number of daysVerify client benefits eligibility and coverageAbility to look up ICD 10 diagnosis and CPT treatment codes from online serviceProvider Enrollment and Credentialing: