Amanda Hudok

Managed billing processes and follow-up communications with Medicare, Medicaid, and commercial payers for Illinois.

Addressed and processed registration denials to ensure efficient workflow in Epic system.

Executed verification of insurance coverage and benefits utilizing payer portals such as NGS OneSource and Availity.

Analyzed and addressed coordination of benefits denials to ensure accurate reimbursement and compliance with regulations.

Executed comprehensive claim reviews and investigations to ensure compliance and accuracy.

Documented actions taken and outlined necessary future steps to ensure comprehensive records.

Executed billing and follow-up processes for traditional and managed care Medicaid claims in Pennsylvania.

Accessed payer portals and resources to identify and address underpaid and non-paid claims efficiently.

Conducted thorough investigations and reconsiderations of claims to ensure accuracy and compliance.

Evaluated claims to establish appropriate next steps for resolution.

Analyzed claim denials and rejections to effectively redirect claims to the correct departments for resolution.

Reviewed benefits and remittance advice to assist with accurate claims processing.

Helped identify discrepancies to support timely resolutions. Collaborated with team members to improve understanding of benefits documentation.

Evaluated timely filing processes and managed adjustments for exhausted claims.

Managed special projects under supervisor guidance to enhance operational efficiency.

Facilitated retrieval and documentation of medical records for compliance and patient care continuity.

Facilitated communication with patients to clarify benefits coordination and address coverage inquiries.

Facilitated written and verbal communications with colleagues, carriers, and patients.

Facilitated resolution of durable medical equipment claims to ensure timely reimbursement from out-of-state payers.

Analyzed and determined correct payment levels for various quantities of durable medical equipment.

Coordinated procurement and billing processes for incontinence, diabetic, and ostomy supplies, optimizing payer fee arrangements.

Analyzed claims and initiated appeals to rectify payment discrepancies.

Secured retro authorizations for excess quantity requests of durable medical equipment.

Achieved timely billing for Blue Cross Blue Shield, Blue Care Network, Medicaid, and Medicare, enhancing revenue cycle efficiency.

Executed verification and registration of patient insurance and demographic information within Soarian Financials.

Assisted teams in utilizing Epic Systems for project management tasks. Supported users in navigating software features to enhance productivity. Collaborated with colleagues to troubleshoot issues and improve system efficiency.

Monitored and assessed current status of claims to ensure timely resolution.

Executed monthly project initiatives as required to meet organizational goals.

Conducted thorough follow-up on claims denied as a result of facility credentialing discrepancies to ensure timely resolution.

Executed verification of patient information using Athena software.

Input and updated patient insurance and demographic data to ensure compliance and enhance patient care.

Conducted thorough verification of Medicare, Medicaid, and commercial insurance plans to ensure compliance.

Analyzed denied and rejected claims to ensure accurate payment processing.

Managed posting of patient and insurance payments to ensure accurate financial records.

Conducted test claims to ensure accurate reimbursement for specialty pharmacy medications.

Engaged with insurance planners to confirm and clarify patient benefits, ensuring accurate coverage information.

Managed communication with physicians' offices to efficiently obtain prior authorizations for specialty drug prescriptions.

Provided patients with updates on specialty medication benefits and expected arrival dates.

Oversaw maintenance of patient records by systematically updating information from all points of contact using ScriptMed.

software.

Evaluated and resolved rejected and denied claims to ensure compliance with policies.

Conducted thorough verification of Medicare, Medicaid, and commercial insurance plans to ensure compliance.

Facilitated accurate entry of hospital claim information into Athena to streamline billing processes.

Implemented CPT and ICD-10 coding strategies for hospital claims management.

Secured authorizations from insurance carriers to facilitate timely payment of hospital claims.

Oversaw billing operations for pediatric office, ensuring accuracy and compliance.

Assisted in billing and coding for inpatient and outpatient services in emergency department settings. Supported accurate documentation and coding processes to facilitate timely reimbursements. Collaborated with healthcare teams to ensure compliance with coding standards.

Performed database entry and verified insurance information to support operational efficiency.

Performed accurate coding of cardiology procedures to ensure proper reimbursement and compliance.

Executed comprehensive audits and management of claims processes.

Achieved improved payment processing accuracy through detailed analysis of remittance advice.

Performed insurance verification for Medicare, Medicaid, Blue Cross, Blue Shield, and commercial plans. Supported patients by confirming coverage details and eligibility. Assisted in resolving discrepancies in insurance information.

Acquired and organized medical documentation to support insurance appeal processes.

Ensured compliance by verifying status of insurance authorizations for all office and hospital charges.

Provided expert guidance during patient consultations on insurance matters, ensuring clear understanding of copayments, deductibles, and coinsurances.