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Check with seller Patient Accounting Representative Columbia

Published date: April 3, 2022
  • Location: Columbia, South Carolina, United States

Responsible for entering and updating patient demographic information into client system to include insurance information
Responsible for resolving patient registration edits in client system
Responsible for contacting health insurance payers and/or the patient to verify patient coverage
Handle all functions of the authorization process including initiation, tracking and status follow-up for patients to ensure authorization and re-authorization for coverage of services
Provides customer service to various healthcare contract customers
Prepares, researches and collects from various contracted health insurance payers
Reads through healthcare contracts and contract language and ensures proper contract workflows
Researches remits and Explanation of Benefits (EOBs) for complete accurate payments or denials
Provides or arranges for additional information when needed
Submits corrected claims or appeals
Requests appropriate adjustments, when required
Identify items that require client assistance
Gather payor trends and provide feedback
Ensures legal compliance by following company policies and guidelines; as well as state and federal insurance regulations
All other duties as assigned by management

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