|
• Cash Posting Department: Team Lead allocates the batch files to Process executive to enter EOBs in billing software.
• Process executive checks for valid information for processing EOBs such as EOB/Check date, Check Number, DOS, CPT codes for which payment is received,
Transfers like Copay or coinsurance and Insurance from where payment is received.
• Process Executive completes batch files by posting insurance or patient payments and sending report to AR department on unpaid claims.
Team Lead allocates the completed batch files to QA executive for audit.
• QA executive audit the batch files for accuracy and make changes, if required.
• QA executive also print the Secondary claims or Patient statements, if required.
• Team Lead does random audit on the batches.
|