The Biller is responsible for reconciling daily claims runs. Performs translation efforts to obtain claims needing manual intervention. Edits each claim to complete validation efforts. Takes necessary action to obtain information to resolve issues. Works daily accepted/rejected reports received from clearing house and/or managed care companies to correct incorrect patient demographics and make sure claims are received within timely filing limits. Responsible for monitoring assigned WQs requests to bring account closer to completion (i.e., corrected claims). Identifies trends for future edits.
Requirements: