Patient Data Review
Verify insurance eligibility and patient demographics to prevent denials.
Coding and Documentation
Apply CPT, ICD-10, and HCPCS coding standards, cross-referencing clinical notes for accuracy.
Claim Submission
Submit claims through billing software integrated with insurance portals.
Denial Management
Track rejected claims, analyze denial reasons, and re-submit corrected claims to ensure reimbursement.
Payment Posting
Post remittances accurately, reconciling payment data with expected amounts.