AR Billing

Job Description:

Skills and Responsibilities
 Work independently
 Have high ethical standards
 Pay attention to detail
 Have an understanding of anatomy and physiology
 Know diagnosis and procedure coding
 Communicate well
 Understand medical terminology
 Know how to enter data onto insurance claim forms
 Review patient records and related documents
 Understand insurance rule and regulations
 Review and understand insurance EOB’s
 Appeal claims when necessary
 Keep up-to-date on rules and regulations governing claims for insurance
Daily Responsibilities
- Work AR for claims older than 45 days
- Review “No Pays” status of superbills and correct or appeal
- Review EOB’s requesting refunds or medical records and give to the designated
staff member. Review all denied EOB’s and correct claim accordingly or
submit an appeal.
- All “No Pays” for the following reason can be processed by the end of the
week: Patient Responsibility, No Coverage, Primary EOB needed for a
secondary claim and Past Timely Filing.