Billing Specialist/Patient Access Representative MercyOne Occupational Health
Cedar Falls, IA
10.2023 - Current
Reviewed medical records to ensure accuracy of billing information and patient data.
Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
Calculated billing charges, prepared and submitted claims to insurance companies.
Verified insurance coverage and identified third-party payers for billing purposes.
Monitored accounts receivable activity to ensure timely payment of invoices.
Resolved discrepancies between customers' remittances and invoices received.
Answered customer inquiries regarding billings, payments, account status.
Investigated incorrect billings and processed refunds as necessary.
Maintained accurate records of collections, adjustments and denials in the system.
Reconciled daily cash receipts with total deposits on bank statement.
Processed credit card transactions through Point-of-Sale terminals or online systems.
Generated periodic reports summarizing account balances and collection activities.
Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
Answered customer invoice questions and resolved issues discovered during invoicing and collection process.
Investigated and resolved issues to maintain billing accuracy.
Contacted insurance providers to verify insurance information and obtain billing authorization.
Processed and sent invoices, adjustments and credit memos to customers.
Input payment history and other financial data to keep customer accounts up-to-date in system.
Researched and resolved billing inconsistencies and errors through individual and collaborative analysis.
Performed data import, scanning or manual keying processes to verify invoice accuracy.
Reviewed vendor documentation to comply with payment guidelines.
Submitted claims to insurance companies.
Answered customer questions to maintain high satisfaction levels.
Managed all payments processing, invoicing and collections tasks.
Monitored past due accounts and pursued collections on outstanding invoices.
Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
Assessed billing statements for correct diagnostic codes and identified problems with coding.
Collected, posted and managed patient account payments.
Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
Executed account updates and noted account information in company data systems.
Performed insurance verification, pre-certification and pre-authorization.
Checked claims coding for accuracy with ICD-10 standards.
Processed invoice payments and recorded information in account database.
Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
Verified accuracy of information and resolved discrepancies with vendors before entering invoices for payment.
Maintained accounting ledgers by verifying and posting account transactions.
Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
Enforced compliance with organizational policies and federal requirements regarding confidentiality.
Reviewed engine assigned codes and modifiers to update and verify accuracy.
Reconciled financial accounts using SYSTOC software.
Charged expenses to accounts and cost centers by analyzing invoice and expense reports.
Verified accuracy and integrity of motor vehicle and workers' compensation claims through careful research and analysis.
Greeted patients and visitors in a courteous and professional manner.
Processed patient admissions, registrations, transfers, and discharges according to established procedures.
Verified insurance coverage for services provided by the facility.
Collected co-pays and other payments from patients at time of service.
Assisted with scheduling outpatient appointments.
Responded to patient inquiries regarding billing or financial matters.
Ensured accuracy of all data entered into computer system.
Scanned documents into electronic medical records system.
Created new patient accounts in EMR system as needed.
Performed pre-registration functions such as verifying demographic information, obtaining authorizations, and collecting deposits and co-payments.
Assisted with preparing daily cash reports for accounting department.
Maintained confidentiality of all patient information in accordance with HIPAA regulations.
Provided assistance to internal departments when needed.
Answered phones promptly in a professional manner.
Facilitated communication between patients, staff members, and third party payers.
Followed up on unpaid claims in a timely manner.
Reviewed account receivables for accuracy prior to sending out statements.
Managed incoming faxes related to patient registration processes.
Actively participated in team meetings and training sessions.
Collaborated with other departments to ensure quality customer service was delivered.
Applied HIPAA privacy and security regulations while handling patient information.
Verified demographics and insurance information to register patients in computer system.
Organized and maintained records by updating and obtaining both personal and financial information from patients.
Registered patients by completing face-to-face interviews to obtain demographic, insurance and medical information.
Obtained necessary signatures for privacy laws and consent for treatment.
Communicated financial obligations to patients and collected fees at time of service.
Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations.
Assembled registration paperwork and placed identification bands on patient.
Explained various admission forms and policies, acquiring signatures for consent.
Processed patient responsibility estimate determined by insurance at pre-registration.
Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
Kept patient appointments on schedule by notifying providers of patients' arrival and reviewing service delivery compared to schedule.
Reviewed eligibility responses to assess patient benefit level and prepare estimates.
Optimized provider time and treatment room utilization with appropriate appointment scheduling.
Verified patients' insurance and payment methods during admissions or check-in processes.
Completed registration procedures for patients, expertly inputting information to meet provider, facility and legal requirements.
Explained policies, procedures and services to patients.
Collaborated with clinical and administrative staff to meet patient needs.
Obtained informed consent and payment documentation from patients and filed in system.
Verified documentation methodically to avoid critical errors impacting care delivery and payments for services.
Cultivated positive relationships with patients to help facility meet satisfaction scores and patients obtain best possible care.
Received patient inquiries or complaints and directed to appropriate medical staff members.
Instructed patients on policies and required actions for different types of appointments and procedures.
Screened patients for eligibility for state, local and federal assistance programs.
Compiled information from patients and caregivers or family members to identify care concerns.
Stayed current on community-based resources and services useful to patients.
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