Collects Medicaid reimbursements by gathering, coding, and transmitting patient care information.
Keeps up to date on information required for remittance of patient care by Medicaid and communicates this information to fellow billing staff.
Reviews patient hospital records to check for proper Medicaid coding and completeness and makes corrections accordingly.
Analyzes patient billing records for completeness and accuracy and obtains additional information and clarification as necessary.
Resolves billing discrepancies by conducting further research and correcting errors.
Resolves disputed claims by consulting with state Medicaid administration claims clerks and following up on all bills not processed within usual claim period.
Prepares reports based on Medicaid billing data and revenue.
Ensures payments by verifying accuracy of Medicaid coding.
Bills Medicaid carrier by inputting billing information into databases.
Resolves disputed claims by gathering, verifying, and providing additional information and following up on claims.
Resolves discrepancies by examining and evaluating data.
Adjusts patient bills by reviewing remittance advice and consulting with Medicaid office.
Prepares monthly reports of Medicaid billings, adjustments, and revenues received.
Participates in professional educational opportunities to keep current on Medicaid billing and reimbursement procedures.