Alexis Bowman

• Answer heavy call volume in a remote call center environment. Answer patient questions and address concerns in a friendly and empathetic manner. Forward calls as necessary to alternate billing departments. Determine resolutions to customer issues while adhering to our client rules and expectations. Follow through with all requests, which may require calling alternate parties, emailing or faxing.

Responds to requests from management, staff, or physicians in a timely and appropriate manner. Maintains patient and physician confidentiality and professionalism at all times. Follow department policies and procedures to ensure accurate and timely claim resolution. Effectively communicates utilizing telephone, form letters, email, or internal correspondence to resolve patient inquiries and insurance issues. Attends and participates in team meetings. Utilizes worklists to review and analyze account balances in order to collect payment for medical services rendered. Utilizes multiple system applications to review, update patient information as well as research and resolve outstanding AR balance. Assists in the analysis of claims resolution and provides feedback to management for solutions and process improvements. Performs follow up with insurance companies to ensure appropriate payment on claims, resolve denials, correct claims, and appeal claims. Acts as a liaison with internal and external customers providing assistance in claims and receivables resolution in a high-volume environment. Contacts patients and guarantors to secure necessary billing information. Documents accounts with clear and concise verbiage in accordance with departmental procedures. Reviews and responds to correspondence and inquiries received. Meets and exceeds team productivity and quality standards, Takes the lead on special projects. Participates in staff training. Reviews complex claims issues for resolution and recommends process improvements. Performs other related duties as assigned.

Collect, post, and manage patient account payments. Submit claims to insurance, Prepare and review patient statements. Review delinquent accounts and call for collection purposes. Process payments from insurance companies. Maintain strict confidentiality. Sort and file paperwork. Ensure healthcare facilities are reimbursed for all procedures. Follow up to see if a claim is accepted or denied. Investigate rejected claim to see why denial was issued. Investigate insurance fraud and report if found. Review medical documentation to determine appropriate. ICD 10 & CPT codes. Enter insurance information and charges on patient accounts. Investigate and resolve rejected and denied claims. Submit verbal and written appeals. Answers incoming calls from patients regarding billing questions.

Calculate premiums and establish payment method. Call on policyholders to deliver and explain policy, to analyze insurance program and suggest additions or changes, or to change beneficiaries. Confer with clients to obtain and provide information when claims are made on a policy. Contact underwriter and submit forms to obtain binder coverage. Customize insurance programs to suit individual customers, often covering a variety of risks. Develop marketing strategies to compete with other individuals or companies who sell insurance. Ensure that policy requirements are fulfilled, including any necessary medical examinations and the completion of appropriate forms. Discuss with prospective clients to obtain data about their financial resources and needs, the physical condition of the person or property to be insured, and to discuss any existing coverage. Monitor insurance claims to ensure they are settled equitably for both the client and the insurer. Perform administrative tasks, such as maintaining records and handling policy renewals.