Medical Billing And Follow Up Analyst
CurrentProviding outsourcing client services for Northshore Hospital System, NY, Hollywood Presbyterian Medical Center, CA, and John Muir Medical Centers Walnut Creek and Concord locations. Determining and verifying underpayment trends from commercial insurances to providers. Verifying correct pricing of the insurance fee schedule is being modeled by the Rubixis Solutions App for accurate revenue collections. Ensuring bulk appeals are being mailed to the correct payer address and department. Escalating any unattended underpayment trends that have not been resolved to the appropriate insurance manager or supervisor. Performing customary duties of insurance follow up for providers such as but no limited to underpayment, retro authorization, and timely filing appeals. Drafting patient letters for coordination of benefits or other miscellaneous information regarding an account. Assisting patient questions in regards to their account. Lastly, mailing out any documents including but not limited to UBO4 forms, patient medical records, and proof of timely filing.
