Bachelor of Elementary Education
VISAYAS STATE UNIVERSITY
Self-motivated and goal oriented professional aiming for a virtual assistant position using exceptional expertise in social media management without the manual work to grow your business.
VISAYAS STATE UNIVERSITY
-I call patients health insurance to verify eligibility and benefits.
-I also use AVAILITY Portal to check patients eligibility and benefits.
-I upload patients health insurance verification form is the system (ECW)
-I make sure that patients health insurance details is up to date.
-I call patient if I need to verify their insurance info and if they need to update PCP on file, COB and etc.
-Reviews for scanning error and analyzes submitted medical and hospital bill (DME, therapy services, outpatient services and office visits)
-Reviews medical records to make sure that the procedure billed was performed during the date of service.
-Reviews bill images if all the data on HCFA1500 and UB-04 was correctly keyed in or entered in the system.
-Reviews bill for correct state rules and pricing application.
-Reviews medical bill related to duplication of charges. Make sure that the bill submitted is for a single encounter on the same date, by the same provider, for the same beneficiary and for the same service or item.
-Reviews claim professional request for previously delayed/denied bills and re-evaluation of previously paid bills for additional amount due.
-Quote patients benefits and eligibility accurately.
-Answer inquiries about the claim status (denied or paid)
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