Job Description

Duties and responsibilities:
-Process bills daily from Claims Processor.
-Receiving copy and Files Receiving Summary per hospital/doctor
-Encodes pertinent information to the CPS (Claims Processing System)
-Verifies benefits and limitations thru Intranet Solutions V2.0.
-Determines the amount to be paid. Amount and number of patients should tally with the billing from the hospital.
-Make sure that all hospital bills must have LOA or approval number in order to validate approved and disapproved charges. A Special accommodation form/letter must be attached for any special arrangement made.
-Receives and files utilization report for all In-patient and Dental services.