Medical Biller-1397

1. Billing and Insurance Process (LTC Patients):

• Set Up LTC Payers for New Clients :
• Set up basic payer information based on Verification of Benefits (VOB) or private pay set‑up.
• Ensure all payer details (payer name, contact info, policy numbers) are entered correctly into the system.
• Confirm accuracy of payer information and details.
• Set up authorization or ensure that a client is set up as a secondary payer to prevent unbilled.
• Weekly Billing and Reconciliation :
• Review billing drafts for accuracy (hours worked, services rendered) and confirm with caregivers as needed.
• Generate and verify invoices, ensuring accurate billing codes, payer details, and rates are used.
• Ensure correct billing rates for LTC and Private Pay services.

2. Payment Processing:

• Post Deposits, Client & Insurance Checks :
• Post client and insurance paym...