Task Summary: The Client Financial Solutions Agent (PFS) is accountable for billing main, in addition to subsequent secondary and tertiary claims, to all 3rd party insurance coverage providers noted on a client account, making use of several systems to make sure a tidy claim is gotten and processed for payment. The position is likewise accountable for act on 3rd party receivables. Position supplies telephone customer care to help clients with their insurance coverage concerns and accept payment for services billed.
Credentials: High school diploma or GED with a minimum of 1 year of medical billing or insurance coverage claim processing experience or an Associates Degree (or comparable credit hours towards a Bachelors Degree) with a minimum of 1 year of customer support experience handling the general public.
Computer System Test- Records processing test to be administered in Human being Resources.
Highly chosen credentials:
Medical Terms Certificate.
Medical Billing Certificate.
Understanding of the billing requirement- HIPAA 5010 variation.
Comprehend all elements of a UB claim type for and a HCFA 1500 claim kind. I.e., Kind Of Costs (TOB), Rev Code, Location of service code (POS).
Working understanding of Passport and client eligibility confirmation.
Understanding of CPT-4/ HCPCS codes as it connects to claims.
Standard understanding of ICD 9 and ICD 10 medical diagnosis terms.
Saratoga Health center.
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