Medicail billing month end supervisor check list

Financial Reports

  • Check for any overdue payments
  • Identify trends in outstanding balances
  • Address any significant discrepancies
  • Cross-reference submitted claims with records
  • Investigate any missing or rejected claims
  • Ensure all claims are accounted for
  • Match payments to corresponding claims
  • Reconcile payment amounts with billing records
  • Investigate any discrepancies
  • Track status of denied claims
  • Follow up on pending appeals
  • Identify reasons for denials and address

Account Reconciliation

  • Compare payment records with claim records
  • Verify that payments are accurately assigned to the correct claims
  • Identify any differences between payment amounts and claim amounts
  • Investigate and resolve any discrepancies found
  • Review all payment records for accuracy
  • Contact payers or patients to address any missing or incorrect payments
  • Document all adjustments made to claims
  • Record any write-offs accurately in the billing system

Claims Processing

Compliance Review

Staff Training and Development