Basic Function: To accurately collect and input billing data into the computer system
Principal Accountabilities:
- Enter patient charges into the practice management system
- Ensure patient and insurance information accurately into the practice management system
- Verify and obtain insurance eligibilities for all patient visits
- Verify billing charges with the chart note to make sure all charges match the coding guidelines and all procedures are billed correctly
- Communicate questions in a task to providers regarding documentation and/or billing charges
- Print and work Open Encounter Report daily
- Work Credit Balance report and Aging reports
- Be able to provide estimates, predeterminations and/or outreach
- Complete and send out Medicaid threshold forms
- Must be able to use the CPT and/or CDT coding book
- Act as a backup for the Dental Billing or Billing Representative-payment poster
- Reconcile and close receipts and charges to daily journal, computer generated reports to ensure accuracy
- Assist in the training of Dental or Billing staff
- Assist management in compiling necessary information for audits, both internal and those required by outside entities.
- Other duties and responsibilities as may be requested by supervisor and/or management
- Cross training for posting explanation of benefits
- Post daily Time of Service, collection, slide, daily logs and/or incoming payments
- Contact insurance companies to follow up on delinquent claims
- Follow up on denied claims by sending claim status requests to appropriate insurance companies
- Process claims for service via websites of insurance companies.