Job description
A Process Associate in a medical billing company is responsible for handling medical claims, insurance verification, payment posting, denial management, and follow-up with insurance companies to ensure accurate and timely reimbursement for healthcare services.
Key Responsibilities
• Prepare and submit medical claims to insurance companies.
• Verify patient insurance eligibility and benefits.
• Follow up on unpaid or denied claims with insurance carriers.
• Review Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERA).
• Resolve claim denials, rejections, and payment discrepancies.
• Maintain accurate patient billing records and documentation.
• Coordinate with providers, patients, and insurance representatives.
• Process payment posting and patient statements.
• Ensure compliance with HIPAA and insurance guidelines.
• Meet daily productivity and quality targets.