Responsibilities:
Monitors and implements procedures to follow-up on unpaid/delinquent third party, Medi-cal, Medi-Care, CHDP and other third party claims. Reviews self pay patient accounts and follows up on delinquent accounts. Reviews EOB's and RA's for carrier errors and down coding and initiates tracers and appeals, resubmits claims and bills patient unpaid balances when appropriate. Resolves patient billing problems. Follows up on patient unpaid balances by re-billing, telephone contact or personal interview. Adjusts off unpaid balances according to procedures. Collects balances due at the end of the patient visit. Advises/counsels patient regarding anticipated charges especially when large balances are anticipated. Maintains OB patient collections per established payment schedule. Consults with Medi-Cal worker as needed. Develops patient payment schedules and approves patients for service with outstanding balances. Processes manual billing which must be done at Center level. Submits hard copy chart data needed for billing to data processing: copy sterilization forms, physician reports. Participates in all safety programs which may include assignment to an emergency response team. Performs other tasks as may be assigned by the supervisor.