1. Develops monthly revenue to be booked for responsible payors (DC MA, Medicare, private
or other 3rd party) Responsible for ensuring all information is provided for third party
audits and completing appeals of audit issues, when appropriate. Communicates with
intermediaries and state agencies, where appropriate for timely reimbursement and enforcement
of prompt-pay-statues. May be expected to code data and input computer processing.
Identifies and resolves production input errors from census or other sources. Maintains
and revises procedural lists, control records and coding schemes to process source data.
Compiles management reports and provides detailed account review for analysis and review.
Assures reimbursement from third parties for pre-certified services seeks documentation from
clinical sources and provides follow-up for payment performance.