Clinical Billing Specialist
1 month ago
Role Summary
As a Clinical Billing Specialist at Spandana Hospital, you will be responsible for ensuring seamless insurance claims processing and follow-up. Your role will involve adhering to infection control protocols, studying insurance plans, documenting patient information, processing claims daily, and monitoring outstanding claims. You will also provide the appointment coordinator with patient names and amounts due, identify financial concerns, and record all financial discussions. Additionally, you will prepare and send statements, make collection calls, and represent the employer in small claims court if necessary.
Key Responsibilities
- Adhere to enhanced infection control protocols and PPE requirements
- Study insurance plans used most frequently with patients
- Document basic insurance information in patients' files
- Process and submit insurance claims daily
- Monitor and follow-up on outstanding claims
- Provide appointment coordinator with patient names and amounts due
- Identify patients with financial concerns and arrange conferences
- Record all financial discussions with patients
- Prepare and send statements each month
- Make collection calls
- Represent employer in small claims court if necessary
- Monitor patients contacted by collection agencies
- Send information to insurance companies as requested
- Provide insurance predetermination documentation to patients
- Correspond with insurance companies to resolve payment delays
- Handle all inquiries concerning insurance daily
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