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Insurance Claims / Policy Clerk
Sumter, SC
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Reviews all claims for completeness and accuracy and makes the necessary corrections. Stays current on all billing guidelines. Researches and responds by telephone and in writing to patient inquiries regarding billing issues and problems. Follows up on submitted claims; monitors unpaid claims; resubmits claims as necessary. Works assigned insurance and patient HOLD buckets in Athena Works
PROREVIEW
worklist (prompt pay) Creates Good Faith Estimates for patient appointments Keeps supervisor informed of problems or potential problems. Completes other duties as assigned by supervisor. Assists with other special projects as assigned by management, such as: o Processing credit card payments from insurance companies o Completing retroactive sliding fee claims o Applying patient payments to accounts o Tracking provider errors to ensure accurate charting o Answering patient questions in Athena Billing Portal Inbox o Completes Bad Debt review monthly
Qualifications:
Education/Experience:
High school diploma required, associate's or bachelor's degree in a related field, or at least two (2) years of billing and coding experience preferred. To learn more about Tandem Health and our benefits, please click the links below.