Medical Billing VA

Responsibilities

• Insurance Claims Processing:
• - Prepare and submit medical insurance claims to insurance companies or government agencies for reimbursement.
• - Verify patient insurance coverage, eligibility, and benefits to ensure accurate claim submission.
• - Review claim denials, identify reasons for rejection, and resubmit claims with necessary corrections and documentation.
• Billing and Coding:
• - Assign appropriate medical codes (e.g., CPT, ICD-10) to diagnoses, procedures, and services performed by healthcare providers.
• - Ensure accuracy and compliance with coding guidelines, regulations, and payer requirements.
• - Generate patient statements, invoices, and billing statements for services rendered, including co-pays, deductibles, and outstanding balances.
• Payment Posting and Accounts Receivable Management:
• - Post payments, adjustments, and refunds to patient accounts and reconcile accounts receivable records.
• - Follow up on unpaid claims, overdue accounts, and outstanding balances with insurance companies and patients.
• - Resolve billing discrepancies, insurance inquiries, and payment disputes in a timely manner to facilitate prompt payment.
• Patient and Provider Communication:
• - Communicate with patients regarding billing inquiries, insurance coverage, and payment options.
• - Collaborate with healthcare providers and office staff to resolve billing issues, clarify coding discrepancies, and ensure accurate billing practices.
• - Educate patients on their insurance coverage, financial responsibilities, and billing processes.
• Compliance and Documentation:
• - Maintain patient confidentiality and comply with HIPAA regulations and other healthcare privacy laws.
• - Keep abreast of changes in medical billing regulations, coding guidelines, and insurance policies.
• - Document billing activities, communications, and claim status updates accurately and comprehensively.