Wheaton Eye Clinic

Medical Billing and Coding

• Identify and resolve inquiries from patients, staff, and insurance companies
• Determine insurance eligibility for patients and assist with referral issues
• Prepare and review claims for submission to clearinghouse following insurance carrier guidelines
• File electronic Medicaid claims in accordance with state Medicaid rules
• Perform surgery billing and apply modifiers per Correct Coding Initiative
• Prioritize high-dollar denied claims and appeals in aging report
• Maintain and review aging reports and take action on overdue accounts
• Apply Medicare LCD Articles as appropriate to claims and appeals
• Maintain confidentiality and strictly follow HIPAA and regulatory guidelines
• Follow Wheaton Eye Clinic customer service and Medicaid guidelines
• Review claims, determine and apply adjustments, answer inquiries, and update accounts as necessary

Explore Medical Billing and Insurance Representative at Wheaton Eye Clinic. Review requirements and application details.

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Medical Billing and Insurance Representative