Christine Arceneaux

• Prioritizes daily work and accesses volumes to adjust workload and areas of focus as needed
• Documents all responses and actions taken to reach claim or account resolution in Billing revenue cycle management system
• Exhibits strong communication skills and positive attitude with internal (team members, other departments, and leadership) and external customers (patients, clients, insurance companies, vendors, and employers)
• Maintains thorough knowledge of third-party eligibility and claim inquiry tools and applications, requirements, and regulatory guidelines
• Audits all inquiries to confirm appropriateness of patient responsibility to ensure correct registration, coding, payment/adjustment posting, and insurance processing of claims
• Meets or exceeds departmental productivity standards on a consistent basis
• Conducts verbal and written inquiries to determine reasons for unpaid/denied claims to reach resolution
• Reviews and resolves claim issues in assigned error processing and denial queues in billing accounts receivable management system
• Audited and corrected billing and posting documents for accuracy.
• Provided excellent customer service, developing and maintaining client relationships.
• Handled account payments and provided information regarding outstanding balances.
• Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
• Worked with multiple departments to check proper billing information.
• Used data entry skills to accurately document and input Claims.
• Responded to customer concerns and questions on daily basis.
• Identified, researched, and resolved billing variances to maintain system accuracy and currency.
• Reviewed and reconciled customer accounts to manage accuracy of payments.
• Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
• Researched and resolved billing discrepancies to enable accurate billing.
• Monitored customer accounts to identify and rectify billing issues.
• Processed payment via telephone and in person with focus on accuracy and efficiency.
• Prepared and submitted monthly billing reports to management for financial overview.
• Identified payment trends and adjusted billing processes accordingly to retain customers.
• Handled account payments and provided information regarding outstanding balances

Provided computer entries of authorization request/provider inquiries, such as eligibility and benefits verification, provider contracting status, diagnosis and treatment requests, coordination of benefits status determination, hospital census information regarding admissions and discharges, and billing codes

• Responds to at least 100 calls/ faxes per day for authorization of services submitted via phone, fax and mail.
• Contacts physician offices according to Department guidelines to request missing information from authorization requests or for additional information as requested by Medical Director.
• Provided excellent customer service, developing and maintaining client relationships.
• Used data entry skills to accurately document and input authorizations.
• Responded to customer concerns and questions on daily basis.
• Collaborated with customers to resolve disputes.

• Responded to inquiries from insurance carriers, via telephone, email or fax and demonstrated high level of customer service
• Pursued reimbursement from carriers by placing phone calls and recording all contact in electronic tracking system to ensure progress is made on outstanding accounts
• Identified and responded to patterns of denials or billing practices and perform complex account investigation as needed to achieve resolution
• Appealed carrier denials through review of coding, contracts, and medical records
• Advised management of any trends regarding insurance denials to identify problems with payers
• Completed required reports and assist with special projects as assigned
• Worked in a fast-paced, ever changing environment with problem solving skills able to look deeper into an issue and create a solution
• Reconciled accounts receivable to general ledger.
• Maintained accurate records of customer payments.
• Audited and corrected billing and posting documents for accuracy.
• Processed payment via telephone and in person with focus on accuracy and efficiency.
• Handled account payments and provided information regarding outstanding balances.
• Followed up on denied and unpaid claims to resolve problems and obtain payments.
• Collaborated with customers to resolve disputes.
• Generated accounts payable reports for management review to aid in financial and business decision making.
• Used data entry skills to accurately document and input statements.
• Trained department employees in proper billing and accounting procedures.
• Prevented delays and claim denials by correcting information prior to submission.
• Coordinated with insurance providers to verify customer's policy benefits in relation to claims.
• Generated monthly billing and posting reports for management review.
• Monitored and documented accounts receivable trends and account-specific profitability.
• Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
• Created documents in accordance with payer guidelines and submitted to appropriate parties.
• Verified accuracy of accounts payable payments, resulting reduction in payment errors and check reissues.
• Guided office staff on how to effectively complete prior authorization forms and appeals documentation to achieve positive results.
• Delivered timely information to insurance representatives to resolve common and complex issues.
• Employed billing codes expertise to correct billing inconsistencies.
• Monitored outstanding invoices and performed collections duties.
• Contributed knowledge to help improve financial management, billing and tracking systems.
• Compiled department-specific reports to help senior managers identify trends and improve progress.
• Responded to customer concerns and questions on daily basis.
• Utilized various software programs to process customer payments.

• Contact insurance companies for eligibility and claim status
• Follow up on outstanding claims
• Contact patients for correct demographic information
• Work A/R reports to resolve high balance accounts
• Focused on Medicare Outstanding Claims
• Gathered, evaluated and summarized account data in detailed financial reports.
• Maintained excellent financial standings by working closely with bookkeeper to process business transactions.
• Supported management by processing invoices and documents with consistent on-time delivery.
• Streamlined daily reporting information entry for efficient record keeping purposes.
• Presented audit findings to accounting manager after reviewing results and paperwork.
• Generated invoices upon receipt of billing information and tracked collection progress.
• Handled day-to-day accounting processes to drive financial accuracy.
• Reconciled accounts, managed audits and updated financial records with remarkable accuracy.
• Inspected account books and recorded transactions.
• Input financial data and produced reports using [Software].
• Maintained account accuracy by reviewing and reconciling checks monthly.
• Recorded deposits, reconciled monthly bank accounts and tracked expenses.
• Reconciled account information and reported figures in general ledger by comparing to bank account statement each month.
• Managed and responded to correspondence and inquiries from customers and vendors.
• Reconciled company bank, credit card and line of credit accounts, investigating and resolving discrepancies to keep accounts audit-ready.
• Managed complex problem-solving for upper management in order to complete projects on-time and within budget.
• Entered figures using 10-key calculator to compute data quickly.

• Researched, Corrected and re billed outstanding Laboratory claims
• Investigated denied claims utilizing several insurance websites for denial explanation
• Researched Medical Policy regarding Specific Denied CPT codes
• Reduced A/R by Approximately substantially within a 3-month span on Blue Cross carriers
• Work on team with numerous projects to accumulate reimbursement for clean billable claims.
• Identified data entry errors and reported to necessary departments.
• Communicated with supervisors and colleagues to process data quickly and resolve discrepancies.
• Entered numerical data into databases with speed and accuracy using 10-key pad.
• Completed data entry tasks with accuracy and efficiency.
• Organized, sorted, and checked input data against original documents.
• Corrected data entry errors to prevent duplication or data degradation.
• Entered data into various computer systems accurately using Microsoft Office Suite.
• Produced monthly reports with advanced Excel spreadsheet functions.
• Searched, extracted and interpreted information to determine correct input procedure.
• Corrected data entry errors to prevent later issues such as duplication or data degradation.
• Resolved discrepancies in data entry activities for accurate, complete jobs.
• Evaluated source documents to locate needed information.
• Sent completed entries for evaluation and final approval.

• Reviewed and verified accuracy of billing charges
• Prepared and submitted charges for payment
• Maintained physician billing records, generating daily reports: submitting monthly statements to patients
• Researched and refiled denied or pending claims
• Monitored status of payments
• Assisted with coding and error resolution on charges not yet submitted
• Trained front desk area of physician practice to reduce errors received
• Coordinated training schedules across sites with supervisors and managers to optimize training initiatives and work-flow management
• Developed job-specific competencies and performance standards.
• Analyzed and evaluated training effectiveness and program outcomes.
• Developed and executed performance management programs to increase employee engagement and productivity.
• Trained and mentored 3 new personnel hired to fulfill various roles.
• Developed job-specific competencies and performance standards