Member of the Accounts Receivable Department with various tasks, which entail or encompass:
● Reprocessing claims with Tricare and also resending CMN's to Tricare.
● Understanding insurance payor guidelines regarding payment for medical supplies.
● Working aged receivables report to follow up on deductibles/cost shares/denials and returns.
● Communication with insurance claim departments regarding denied claims.
● Drafting refund requests for payments that need to be returned to insurance
● Requesting new authorizations for patients with ongoing device rentals and supplies with
Tricare West.
● Monitoring reports to ensure that all Authorizations are received in a timely manner.
● Develop and maintain working knowledge of current services and supplies offered.
● Sending and Communicating with patients in regards to cost-share invoices.
● Establish and maintain effective working relationships with team members.
● Adhere to company policies and procedures.
● Posting non-auto-posted Payments including patient payments
● Entering Secondary Explanation of Benefits for patient deductibles.
● Other duties as assigned by supervisor or management.