Angela Bouchard

• Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
• Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
• Maintained compliance with industry regulations by staying updated on changes to medical billing codes and requirements.
• Established strong relationships with insurance representatives, facilitating prompt resolution of billing issues.
• Communicated with insurance providers to resolve denied claims and resubmitted.
• Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
• Conducted detailed analyses of billing cycles to identify patterns and implement strategies for reducing delays in payments.
• Fostered culture of continuous improvement, encouraging staff to suggest process enhancements that led to more efficient operations.
• Analyze Tasking via Nextgen to identified trends and other billing issue as well as implemented fixes for the trends which resulted in reduction of unpaid AR.
• Work various AR, Unbilled Encounters, Tasking and other claims related projects.

• Conducted primary source verifications such as background checks and board certifications.
• Received and evaluated applications to look for missing and inaccurate information.
• Obtained NPI numbers for providers and facilities and updated existing profiles.
• Enrolled providers and Medicaid, Medicare and private insurance plans.

Operations oversight (charge entry,billing & payment posting)

A/R Management, (denial monitoring,unpaid claims resolution, appeals, & supervision of offshore staff

• Client relations & customer service (reoccurring client calls, to discuss work flows, a/r issues, process improvements & provider credentialing updates.)
• Supporting other Account Managers for Ohio FQHC's

• Medical Billing Audit Preparation
• Preparing written orders for provide signature
• Liaison between Patient, Hospital and Pharmacy
• Document tracking and procurement for Medicare
• Compliance
• Denial resolution (all insurances)
• Payment Posting
• Specialty Pharmacy Billing home infusion and injectable drugs.