Billing/Office Manager
Current· Responsible for all claim submissions via files and paper claims, including importing and posting electronic ERAs· Retrieves ERAs (from clearinghouse and posts to practice management system and saves files in the PCHC billing folder.· Ensures all payments are settled correctly to all applicable encounter payers· Balances all payments posted to ERA/EOB and EFT and confirms all monies are promptly applied to appropriate patient encounters.· Use EHR documentation to verify correct coding and medical necessity· Research and initiate activity to resolve charges and coding issues· Recognize the organization’s payer mix and potential for additional revenue streams· Maintains knowledge of current industry regulations and communicates recent updates accordingly· Complete assigned tasks and assist with error resolution· Maintains required billing records, reports, and files· Batch posting and prepare deposit. Notify applicable staff of any missing batches· Completes monthly closing processes and maintains accurate reports with supporting details· Submit claims, resubmit denied claims, and manage accounts receivables· Ensure processing of payments from insurance companies· Maintain payment status and billing records· Perform data entry activities· Track and resolve billing discrepancies· Work with healthcare providers, patients, and insurance companies to ensure timely filing.· Manage account receivable reports.· Responsible for all claim submissions via files and paper claims, including importing and posting electronic ERAs· Retrieves ERAs (from clearinghouse and posts to practice management system and saves files in the PCHC billing folder.· Ensures all payments are settled correctly to all applicable encounter payers· Balances all payments posted to ERA/EOB and EFT and confirms all monies are promptly applied to appropriate patient encounters.· Use EHR documentation to verify correct coding and medical necessity· Research and initiate activity to r