Position Purpose: Review patients \'encounters for all payers \'sources and maintain no more than 1% error rate. Initiate encounter review and make proper corrections for all discrepancies found. Maximize the revenue following the individual payer guide lines. Initiate and investigate cover and non cover services from all payer types. Provide weekly and monthly updates and reports to billing supervisor. Review all patients \'accounts for potential re- bills, adjustments and write offs. Maintain encounters \'review, out of network CMS 1500 claim submission and payment posting up to date.
Review and complete patients \'screen, demographics and insured fir accurate billing.
Review all encounters and patients \'eligibility on a timely manner to avoid submitting encounters with error to the various insurances.
Process and mail out patients \'statements for co-pays, deductibles or any other patient\'s responsibility.
Generate encounters verification forms for each date of service and submit weekly.
Enter and retrieve patients\' Medical data in the patient management system, update information as necessary.
Consult with administrators and Providers, as necessary to resolve eligibility, documentation, coding, procedures and diagnoses issues.
Post payments for the various payers, run the payments entered report to support the payments posted. Post Remittances Advices/EOB upon receipt. Reconcile payments posted to the ledger.
Review and track payments of all submitted charges/claims, reconcile visits and apply appropriate contractual adjustments and write offs.
Weekly and monthly encounters error report. Quarterly claim transaction report.
Other duties as assign.
Cerner is a place where people are encouraged to innovate with confidence and focus on what is important – people\'s health and the care they receive. We are transforming health care by developing tools and technologies that make it more efficient for care providers and patients to navigate the complexity of our health. From single offices to entire countries, Cerner solutions are licensed at more than 25,000 facilities in over 35 countries.