Duties
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Performs long and short-term analysis to determine efficiency of Third Party Billing systems.
Prepares workload and production reports to measure their impact on Third Party Billing programs.
Supervises and trains employees of Third Party Billing operations.
Analyzes and evaluates management practices to identify deficiencies in the billing of services transactions.
Compiles data on billing of services transactions for review to management.
Processes payments and/or non-payments of patients through alternate resources (i.e. Medicare, Medicaid, Private Insurance, Commission Officers Tricare, and third party liability claims).
Investigates and solves complaints between beneficiaries, healthcare providers, and Private insurance companies regarding debt collection, eligibility, and nonpayment or incorrect payment claim.