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Claims processing: Pre-billing - entering patient demographics and insurance information; checking that authorizations are on file; submitting claims electronically when possible; filing secondary claims or coordinating automatic crossovers.
Posting: Entering payments and adjustments from insurance EOBs; posting patient copays.
Follow-up: Calling insurance companies to check on status of unpaid claims; refiling unpaid claims as needed; filing appeals.
Patient communications: Mailing out patient statements; responding to patient account inquiries on our toll-free line.
Collections assistance: Sending out dunning letters on slow-paying accounts; submitting accounts to a licensed collections agency, if needed.
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