Cheri Butts

• Checked patient insurance eligibility for pediatric and sports medicine visits.
• Reviewed benefits, copays, deductibles, and referral requirements to ensure accurate patient understanding prior to appointments.
• Coordinated authorizations with carriers for specialist and therapy services.
• Updated patient records with coverage details and verification notes.
• Communicated insurance issues to front desk and clinical staff to facilitate resolution and improve patient experience.
• Resolved claim questions with payers and family members.
• Maintained accurate files for referrals, authorizations, and coverage changes.
• Contacted insurance carriers to confirm plan status and benefits.
• Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
• Contacted insurance companies for policy details to ascertain pertinent information regarding policies and payment benefits for patients.
• Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits.
• Entered data in EMR database to record payer, authorization requirements and coverage limitations.
• Navigated through multiple online systems to obtain documentation.
• Accessed third-party insurance databases to identify coverage of benefits.
• Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
• Contacted patients to confirm demographic information and communicate financial responsibilities.
• Reviewed patient documentation for accuracy for appropriate coding, catching errors and making revisions.
• Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into system.
• Retained strong medical terminology understanding in effort to better comprehend procedures.
• Collaborated with internal staff members such as Billing Specialists, Medical Coders to resolve any discrepancies in patients' insurance information.
• Interpreted Explanation of Benefits statements from various insurers and communicated relevant information with other departments.
• Responded promptly to customer inquiries regarding their benefits and eligibility status.
• Assisted in resolving claim issues related to billing and reimbursement inquiries.
• Provided timely follow up with payers regarding payment status of claims.
• Maintained confidentiality of patient information in accordance with HIPAA regulations.
• Educated patients on insurance benefits and coverage limitations, enhancing their awareness and preparedness for medical services.
• Developed and maintained professional relationships with insurance representatives.
• Monitored and tracked the status of pending insurance verifications and authorizations.
• Assisted in training new staff on insurance verification procedures and best practices.
• Resolved insurance-related issues and discrepancies to prevent claim denials.
• Managed multiple tasks and priorities in a high-volume, fast-paced environment.
• Utilized electronic medical records (EMR) systems for documenting verification processes.
• Adhered to HIPAA requirements to safeguard patient confidentiality.
• Managed incoming telephone calls for patient inquiries and directed calls to appropriate medical or administrative staff.
• Prepared reports, invoices, letters, or medical records using word processing, spreadsheet, or other software applications.

• Processed patient refund requests for Harris Health Ben Taub General Hospital accounts.
• Reviewed overpayments using billing records and payment histories.
• Matched refund cases with insurance and patient account documentation.
• Communicated with patients about refund status and required information.
• Coordinated with billing teams to resolve refund discrepancies.
• Updated refund logs in hospital financial systems.
• Prepared refund packets for supervisory review and approval.
• Followed hospital policies for refund accuracy and confidentiality.
• Researched discrepancies related to refund requests.
• Maintained up-to-date records of all refund transactions.
• Coordinated with internal departments such as accounting and finance on any issues related to refunds.
• Documented all communication between customers and the Refund Specialist team.
• Answered questions from customers via phone, email, or other methods of communication.
• Conducted periodic audits of existing processes related to issuing refunds.
• Generated reports on refund activities as requested by management.
• Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
• Checked claims coding for accuracy with ICD-10 standards.

• Processed customer refunds across billing and payment systems.
• Verified customer information and eligibility for refunds in accordance with company policies and procedures.
• Resolved refund issues with customer service and finance teams.
• Updated case files with refund status, adjustments, and approvals.
• Researched discrepancies related to refund requests.
• Expedited resolutions to correct customer problems and complaints.
• Operated POS systems to tabulate bills and issue refunds, receipts, credits and change to customers.
• Answered questions from customers via phone, email, or other methods of communication.

Maintained accounts receivable tracking database with up-to-date client information, collection status, billing progress, and program changes.

• Processed payments, refunds and adjustments to customer accounts.
• Resolved billing discrepancies with customers and internal departments.
• Prepared collection notices and communicated payment status with clients.
• Produced weekly aging reports to pinpoint delinquent accounts for timely follow-up actions.
• Analyzed A/R aging reports to prioritize old or high-dollar accounts and prevent claims from exceeding timely filing limits.
• Followed up on claims to resolve payment issues, tracking unpaid, delayed, or denied claims and contacting payers or patients for resolution.
• Research claim denials, corrected errors and filed first or second level appeals
• Rectified claims to facilitate reprocessing and approval. in order for them to be reprocessed.
• Ensure all billing and collection actions follow HIPAA and federal/state healthcare guidelines.
• Prepared and submitted accounting documents and reports for review, authorization, and processing.
• Completed day-to-day duties accurately and efficiently.