Geisinger
Overview
Responsible for verification and interpretation of insurance benefits and establishing financial arrangements with guarantor/patient.
Estimate patient out-of-pocket and make financial arrangements with guarantor/patient. Post payment and follow up with claims.
Prepare and review all billing forms to ensure accuracy and completeness for claims submission to insurance carriers and back up for Medicare and Medicaid claims.
Process claims electronically or hard copy with 100% accuracy and mail claims to insurance carriers timely.
Enter documentation and adjustments through computer system to maintain a correct account balance.
Update system information according to correspondence received and processed. Document any changes and submit to appropriate staff.
Review charge summaries on each patient bill that is produced and identify discrepancies with 100% accuracy.
Consistently apply appropriate procedures to prevent accounts from becoming delinquent or remaining unbilled.
Initiate appropriate follow-up and collection calls.
Review remittance advice statements for payments and adjustments on a daily basis and initiate appropriate data entry for patient charge or account discrepancy on review.
Identify denial and pending reasons and investigate, resolve and initiate information to secure reimbursement.
Responsibilities
Verify and interpret insurance benefits and establish financial arrangements with guarantor/patient.
Estimate patient out-of-pocket costs and post payments; follow up with claims.
Prepare and review billing forms for accuracy and completeness for submissions to insurance carriers and as a backup for Medicare and Medicaid claims.
Process claims electronically or in hard copy with high accuracy and mail timely to insurance carriers.
Enter documentation and adjustments to maintain correct account balances and update system information as needed.
Identify discrepancies in charge summaries and ensure accuracy.
Apply procedures to prevent delinquencies or unbilled accounts; initiate follow-up and collection calls as needed.
Review remittance advice for payments and adjustments; enter data for charges or discrepancies when identified.
Identify denial and pending reasons; investigate and take actions to secure reimbursement.
Qualifications Education
Required : High School/GED
Preferred : Bachelors
Behaviors
Required
Detail Oriented :
Team Player :
Dedicated :
Motivations
Required
Work-Life Balance :
Self-Starter :
Flexibility :
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
#J-18808-Ljbffr
Estimate patient out-of-pocket and make financial arrangements with guarantor/patient. Post payment and follow up with claims.
Prepare and review all billing forms to ensure accuracy and completeness for claims submission to insurance carriers and back up for Medicare and Medicaid claims.
Process claims electronically or hard copy with 100% accuracy and mail claims to insurance carriers timely.
Enter documentation and adjustments through computer system to maintain a correct account balance.
Update system information according to correspondence received and processed. Document any changes and submit to appropriate staff.
Review charge summaries on each patient bill that is produced and identify discrepancies with 100% accuracy.
Consistently apply appropriate procedures to prevent accounts from becoming delinquent or remaining unbilled.
Initiate appropriate follow-up and collection calls.
Review remittance advice statements for payments and adjustments on a daily basis and initiate appropriate data entry for patient charge or account discrepancy on review.
Identify denial and pending reasons and investigate, resolve and initiate information to secure reimbursement.
Responsibilities
Verify and interpret insurance benefits and establish financial arrangements with guarantor/patient.
Estimate patient out-of-pocket costs and post payments; follow up with claims.
Prepare and review billing forms for accuracy and completeness for submissions to insurance carriers and as a backup for Medicare and Medicaid claims.
Process claims electronically or in hard copy with high accuracy and mail timely to insurance carriers.
Enter documentation and adjustments to maintain correct account balances and update system information as needed.
Identify discrepancies in charge summaries and ensure accuracy.
Apply procedures to prevent delinquencies or unbilled accounts; initiate follow-up and collection calls as needed.
Review remittance advice for payments and adjustments; enter data for charges or discrepancies when identified.
Identify denial and pending reasons; investigate and take actions to secure reimbursement.
Qualifications Education
Required : High School/GED
Preferred : Bachelors
Behaviors
Required
Detail Oriented :
Team Player :
Dedicated :
Motivations
Required
Work-Life Balance :
Self-Starter :
Flexibility :
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
#J-18808-Ljbffr