Medicare and Medicaid Billing Specialist/ LifeBridge Health
City of Baltimore, Mayor's Office of Employment, Westminster, MD, United States
KEY RESPONSIBILITIES
Completes timely claim submission, denial management, payment variance, and accounts receivable resolution.
Imports, edits, corrects and transmits hospital claims on a daily basis.
Ensures activity is fully documented related to claim submission, follow-up and resolution in hospital systems.
Investigates and/or refers to management systemic billing issues that cause delays in reimbursement.
Identifies administrative denials by working denial work-items and through remittances; follows through with appeal or corrective action to obtain claim payment.
Applies payor acceptance reports and 277 reports to manage payor rejections and take appropriate action for resolution.
Applies appropriate HOLDS and subsequently releases claims based on billing requirements, coding needs and data deficiency.
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Completes timely claim submission, denial management, payment variance, and accounts receivable resolution.
Imports, edits, corrects and transmits hospital claims on a daily basis.
Ensures activity is fully documented related to claim submission, follow-up and resolution in hospital systems.
Investigates and/or refers to management systemic billing issues that cause delays in reimbursement.
Identifies administrative denials by working denial work-items and through remittances; follows through with appeal or corrective action to obtain claim payment.
Applies payor acceptance reports and 277 reports to manage payor rejections and take appropriate action for resolution.
Applies appropriate HOLDS and subsequently releases claims based on billing requirements, coding needs and data deficiency.
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