Arly Rivera

• Reviewed chart notes to assign accurate medical codes for foot and ankle procedures.
• Processed podiatry claims for Foot and Ankle Center using ICD-10 and CPT codes.
• Verified insurance benefits and eligibility for Foot and Ankle Center patient visits.
• Submitted electronic claims through EHR and clearinghouse systems.
• Followed up on denied claims and corrected billing errors.
• Posted patient payments and adjusted account balances in billing records.
• Communicated with patients about statements, copays, and insurance questions.
• Ensured timely filing of all claims within established guidelines.

• Processed and submitted insurance claims efficiently, ensuring compliance with industry standards.
• Reviewed patient accounts to identify and resolve discrepancies, improving overall billing accuracy.
• Collaborated with healthcare providers to gather necessary documentation for claim submissions.
• Communicated with insurance providers to resolve denied claims and resubmitted.
• Analyzed denied claims and implemented corrective actions to reduce future occurrences.
• Utilized billing software to manage accounts receivable and track payment statuses effectively.
• Streamlined data entry procedures to enhance efficiency in managing client records.
• Streamlined data entry procedures, enhancing efficiency in client record management.
• Communicated with insurance providers to resolve denied claims and resubmit.

- Processed medical claims efficiently, ensuring accuracy in coding and billing procedures.

• Reconciled patient accounts and resolved discrepancies to maintain financial integrity.
• Collaborated with healthcare providers to verify insurance coverage and obtain pre-authorizations.
• Led comprehensive coding audits to ensure compliance with industry regulations and standards.
• Analyzed accounts receivable reports to identify trends and improve recovery strategies.
• Collaborated with healthcare providers to resolve billing discrepancies and ensure timely payments.
• Utilized coding software to assign appropriate CPT and ICD-10 codes for various medical services.
• Developed a comprehensive understanding of ICD-10-CM, CPT, and HCPCS codes to ensure proper use in medical coding assignments.

• Process and manage insurance claims, ensuring compliance with billing regulations
• Maintain accurate patient billing records and address discrepancies
• Communicate with insurance companies to resolve claim denials
• Provide excellent customer service to patients regarding billing inquiries
• Collected payments and applied to patient accounts.
• Verified insurance of patients to determine eligibility.

• Updated databases and maintained accurate records
• Performed clerical tasks to support seamless office operations
• Managed filing, inventory, mailing, and database systems

• Transferred calls to appropriate departments
• Greeted customers and provided assistance with inquiries
• Supported sales by providing car suggestions to customers
• Maintained communication between floor staff and management