Author Topic: Can you give me a typical day at your work?  (Read 635 times)

Mikeymt

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Can you give me a typical day at your work?
« on: September 27, 2016, 08:37:29 PM »
Can you guys give a little detail about a typical day at your work?

Sriram_Sub

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Re: Can you give me a typical day at your work?
« Reply #1 on: September 28, 2016, 08:16:45 AM »
As a Biller, these are the regular tasks that we perform to be on top of our practice's day to day activities.

1. Check Appointments for the previous date of service
2. Verify Eligibility of patients
3. Code and post charges based on Superbill or the electronic records
4. Apply co-payments as applicable
5. Reconcile charges entered vs. appointments completed to make sure all charges are processed in the system
6. Transmit claims electronically (if your billing system does not do it automatically at EOD)
7. Review the electronic rejections from Clearinghouse & Payers and resubmit them with corrections
8. Review Electronic Remittances, Paper EOBs and reconcile them with bank deposits
9. Post the payments to the appropriate charges using the appropriate accounting date
10. Document denials and take corrective actions
11. Follow-up with payers on unpaid claims and fix issues as applicable
12. Submit patient statements Weekly or Monthly depending upon the practice's custom
13. Review delinquent patient accounts and perform collections process as applicable
14. Review other correspondences from payers to keep up with payer regulations
15. Interact with Credentialing support staff to watch out for any potential risk of having claims denied for participation issues.

If you are also supposed to perform prior authorization requests, it adds up to the list. Hope this helps. Please let me know if there is any question.

Regards
Sriram
Sriram