Essential Duties and Responsibilities

Revenue Cycle Responsibilities

· Post insurance and patient payments accurately and timely. 

· Reconcile payment postings and identify discrepancies. 

· Research and resolve payment variances, denials, and underpayments. 

· Follow up with insurance carriers regarding unpaid or delayed claims. 

· Communicate with billing staff regarding claim status and payment issues. 

· Maintain accurate documentation of insurance communications and claim activity. 

· Assist with accounts receivable management and aging reports. 

· Ensure compliance with insurance regulations and company policies. 

Third-Party Payer Responsibilities

· Serve as the primary point of contact for third-party hearing healthcare programs and payers, including TruHearing and other contracted programs. 

· Verify eligibility and benefits with third-party payers. 

· Register patients in third-party portals and maintain accurate records. 

· Submit required documentation and authorizations to third-party administrators. 

· Monitor pending authorizations and orders to ensure timely processing. 

· Communicate with third-party representatives regarding patient benefits, claims, denials, payment status, and program requirements. 

· Resolve payment discrepancies and claim issues with third-party payers. 

· Maintain knowledge of third-party program guidelines, reimbursement structures, and workflow requirements. 

· Coordinate with audiologists and administrative staff to ensure compliance with third-party payer requirements. 

· Track and report third-party activity, outstanding claims, and payment status.

Patient Communication Responsibilities

· Answer incoming phone calls professionally and courteously. 

· Monitor, retrieve, and respond to Certified voicemail messages throughout the day. 

· Ensure all voicemail messages are addressed promptly and routed appropriately.

· Assist patients with questions regarding appointments, billing, and services. 

· Route calls and messages appropriately to staff members. 

· Provide excellent customer service and represent Certified in a positive manner. 

Marketing Responsibilities

· Coordinate marketing efforts for Certified Hearing Aid & Audiology Associates. 

· Assist with community outreach programs, health fairs, and educational events. 

· Maintain relationships with physician offices, senior centers, and referral sources. 

· Assist with social media, website updates, and promotional materials as directed. 

· Track marketing activities and referral sources. 

· Support implementation of marketing campaigns designed to increase patient awareness and practice growth. 

Administrative Responsibilities

· Maintain accurate records and reports related to assigned duties. 

· Assist with special projects as assigned by leadership. 

· Attend department meetings and training sessions. 

· Maintain confidentiality of patient and business information. 

· Perform other duties as assigned. 

· High school diploma required; associate or bachelor's degree preferred. 

· Minimum of 2 years of medical office, billing, insurance, customer service, or healthcare administrative experience preferred. 

· Knowledge of medical insurance, claims processing, and payment posting preferred. 

· Strong organizational and time management skills. 

· Excellent verbal and written communication skills. 

· Proficiency with Microsoft Office and practice management software. 

· Ability to multitask and work independently. 

· Strong attention to detail and accuracy.