Job Details

Alan B. Miller Medical Center - - Responsibilities: Prepare and submit accurate, timely insurance claims to all payers (primary, secondary, and tertiary) in accordance with payer guidelines; Review daily unbilled and claim edit reports to ensure clean claim submission, correcting errors related to authorizations, service dates, diagnoses, revenue codes, and reimbursement methods; Monitor electronic claim submissions and resolve rejections or errors through clearinghouses and payer portals; rebill or correct claims as needed; Process contractual adjustments, payment postings, transfers of responsibility, refunds, and account corrections, ensuring proper documentation; Respond to payer correspondence, rebill requests, and billing inquiries within established timelines