~ Compile and submit precise billing claims for patient procedures, services, and treatments provided.~ Assign appropriate medical codes to diagnoses and procedures.~ Verify and maintain updated patient insurance details, coverage benefits, and coordination of benefits (COB) for billing purposes.~ Obtaining prior/retro authorization, particularly for out-of-network providers or as per patient plan, to ensure reimbursement.~ Scrutinize and handle claims to ensure they meet criteria for completeness, accuracy, and compliance with federal, state, and commercial insurance regulations.~ Collaborate with insurance companies to follow up on submitted claims, resolving any discrepancies or issues.~ Keep track of and handle claim denials and rejections, including pursuing unpaid claims and initiating the required actions for resubmission or appeals.~ Address patient inquiries regarding their bills, insurance coverage, and payments.~ Ensure compliance with relevant healthcare regulations and policies.~ Generate reports on billing, collections, and accounts receivable.~ Assist in analyzing financial data to detect trends and enhance healthcare revenue.~ Contributes to developing organizational protocols and updating manuals and forms.~ Undertakes diverse clerical tasks like telephone reception, mail handling, and other routine functions.

~ Evaluate and scrutinize medical claims to ensure they align with insurance guidelines and regulations.~ Confirm the coverage and eligibility of patients' insurance.~ Maintain meticulous patient records and billing details within the electronic medical record (EMR) system.~ Engage with patients, healthcare providers, and insurance companies to address billing queries effectively.~ Optimize healthcare practice revenue by efficiently processing outstanding claims within stipulated filing deadlines.~ Assess and enhance the accuracy and completeness of initially submitted and rejected claims for higher approval rates upon resubmission. Pursue partially paid and unpaid claims within the standard billing cycle timeframe.~ Communicate with payers to re-file claims underpaid due to plan/provider errors, utilizing tracking systems for thorough resolution.~ Aid the supervisor and colleagues in daily tasks and researching insurance data.~ Stay abreast of evolving medical billing and coding regulations for compliance.