What are the responsibilities and job description for the PI and WC Biller position at Primus Ortho?
Prepare and submit claims, electronically or by paper, for Clinic, Surgical, Physical Therapy & Chiropractic departments to various insurance companies.
Post Payments for Clinic, Surgical, Physical Therapy & Chiropractic departments.
Follow up with Doctors and other clinical staff for any missing information as it pertains to billing.
Verify benefits or obtain authorization, referrals, etc. as needed.
Medical coding: Creates accurate medical coding.
Billing forms: Submits billing forms to the Workers' Compensation
Review and follow-up: Reviews the processing and payments, and follows up on claims that are denied.
Appeal any and all denials for Clinic, Surgical, Physical Therapy & Chiropractic departments.
Communicate benefits to the Medical Assistants, Front Desk & Physical Therapy Department by set deadlines.
Explain benefits or answer any other insurance related questions from patients.
Analyze, prepare and mail patient statements, implement and follow up on patient payment plans and collect patient balances.
Resolve any patient complaints in a professional and courteous manner.
Prepare accounts for collection agency that have been deemed non-collectible.
Meticulous Accounts Receivable collection and follow-up with insurance and patients weekly
Presenting weekly reports showing progress.
Review Charts and Submit WMC Department Authorization Requests.
Follow up with WMC Coordinator, and or Front Desk to obtain proper insurance and/or billing information.
Answer e-mail and/or voicemails in a timely and professional manner.
Special projects as needed when determined by supervisors or management.
Be responsible for maintaining accurate records and providing detailed, professional notes in patient files.
Review Explanation of Benefits to determine next appropriate steps to seek authorization for patient treatment
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