Teams at Mayfield Brain & Spine

Coordinates outpatient diagnostic testing, including prior authorizations, payer requirements, orders, facility communications, patient instructions, scheduling, documentation, and follow-up. Serves as a liaison among patients, physicians, diagnostic facilities, and insurers to resolve issues and prevent delays. Maintains accurate electronic records, identifies missing information, and collaborates with care teams to keep testing on track.

Processes insurance claims, remittances, takebacks, refunds, zero-pay transactions, and payment postings. Follows up with payers on unpaid or denied claims, submits appeals and corrections, resolves billing issues, and pursues accurate reimbursement. Maintains claim documentation and practice management system records, prioritizes accounts by aging and balance, processes credit-balance refunds, and responds to billing and account inquiries.

Verifies patient insurance eligibility and benefits, prepares cost estimates, registers patients, processes payments, manages account corrections and refunds, researches unpaid balances, supports claims follow-up, updates practice management records, and communicates with patients and clinical staff regarding billing, claims, charges, and account status.