Demo seat · Billing Specialist
The billing seat: a held claim says why.
A biller starts by asking which claims have the evidence, the authorization and the approval to leave cleanly. This seat answers it.
What the Billing Specialist seat does all day
Work the holds by missing evidence first, then move to denials that can be recovered. Each release decision has the care evidence behind it.
Three things it gets done
- Fix the hold at its cause. Holds are grouped by the rule that stopped them, with the dollars waiting under each.
- Work denials from one list. A denials worklist sits beside the claims queue.
- See the rules behind the queue. Payer rules and fee schedules are in this seat's workspace.