Responsibilities

• Check daily denials, review their ERAs, report any trend to the immediate supervisor, and fix routine denials on the same day.
• Respond insurance, account balance, refund and other billing related chat and queries of PSR and other MTS staff and queries from patient.
• Check daily denials status account and run weekly and monthly denials and aging report.
• Review patient account balances, answer their queries and make tasks for the collection team.
• Contact with Providers if need any addendum in the claims or if need to change DX codes.
• Contact payer for OON, prior authorization, DX, and network issues. Do a regular follow up on specific denials and create a ticket for ECW for any system related issue.
• Coordinate with billing manager to achieve monthly, quarterly, and yearly denials targets.
• Work on TMS, Spravatto, Psych Testing claims.
• Report issues and trends and about payments immediately to Billing Manager.
• Collect and review documents and submit requested documents to insurance to appeal claims.
• Resolve Patient’s queries coming on chat and create tasks for refund.
• Help Billing Manager in trainings and operations.
• Help team members on routine issues and guide them to fix rejections.
• Coordinate with the US team to submit a medical request to insurance.
• Work on adjustments, claims sitting for adjustment follow up with insurances and apply final adjustment or take action accordingly.
• Attend weekly/bi-weekly meetings with the billing manager.
• Maintain a healthy work environment and follow office etiquette.
• Review accounts that are behind on their payments…