Qa Cmn
Current• Contacts payer, patient or store as appropriate• Documents all collections activity in IMBS patient collections notes and on the Collections daily work sheet and sends completed sheet to Collections Supervisor• Documents work performed/action taken on AR Aging Report and/or Over/Under Report• Process all Payer appeal requests within the time frame required by the Payer• Processes all approved adjustments• Processes doctor and insurance changes• Processes Financial… Show more • Contacts payer, patient or store as appropriate• Documents all collections activity in IMBS patient collections notes and on the Collections daily work sheet and sends completed sheet to Collections Supervisor• Documents work performed/action taken on AR Aging Report and/or Over/Under Report• Process all Payer appeal requests within the time frame required by the Payer• Processes all approved adjustments• Processes doctor and insurance changes• Processes Financial Assistance applications• Processes Hospice/Nursing Home Delivery Tickets• Processes rejections and denials to determine if the claim needs to be refiled or submitted for an appeal with the payer• Reviews amounts on the over/under report• Reviews patient information in IMBS to determine if an adjustment is valid and whether additional approval is required• Reviews patient information in IMBS to determine why the claim is unpaid• Sorts and logs incoming correspondence Show less