BRIANNA PAGAN

Rego Park Medical Associates

Queens, NY

12.2022 - Current

Applied HIPPA privacy and security regulations while handling patient information
Communicated with insurance representatives to complete claims processing or resolve problem claims
Completed and submitted appeals for denied claims
Reviewed claims for coding accuracy
Coordinated communications between patients, billing personnel and insurance carriers
Contacted insurance providers to verify insurance information and obtain billing authorization
Input details into accounts and tracked payments
Handled billing, waivers, and claims for private and commercial clients
Monitored reimbursement from managed care networks and insurance carriers to verify consistency with contract rates
Organized information for past-due accounts and transferred to collection agency
Leveraged EMR software to post payments received for medical services
Interpreted medical terminology and pharmacological information to translate information into coding system
Maintained positive working relationship with fellow staff and management
Handled incoming calls and directed callers to appropriate department and employee
Answered questions and fulfilled requests with friendly and knowledgeable service
Pulled patient records and transferred information to appropriate parties
Entered patient insurance, demographics and health information into software and confirmed records
Determined and implemented techniques to improve medical records retrieval process.
Handled various clerical, documentation and data entry tasks.

Summary