Christopher Roberson

• Greeted patients to facilitate accurate registration and completion of intake forms, scheduling appointments for doctor visits and physical therapy.
• Answered phones to provide information on urgent care services, ensuring patient inquiries were addressed promptly.
• Verified insurance eligibility; submitted insurance authorization requests.
• Open and close facility Monday to Friday.
• Responded to 30-40 incoming calls daily, addressing inquiries and providing support to enhance patient experience.

• Scheduled, rescheduled, and cancelled appointments based on patient's and staff's availability
• Schedule tests, procedures, and referral appointments, Prior Authorization
• Collected and verified insurance and personal data to ensure accurate patient records.
• Managed 35-40 calls daily to facilitate communication and enhance patient service.
• Coordinated patient check-ins, check-outs, co-pay collections, and insurance updates to streamline front office operations.

• Delivered customer service to patients regarding eligibility inquiries
• Applied knowledge of CPT and diagnosis codes, medical terminology in claims processing
• Ensured accurate billing by processing ICD 9 and 10 codes and handling COB and ABA claims.
• Prior authorizations, unpaid claims, reimbursement of claims & claims adjustment
• Handled 60-75 inbound calls daily from healthcare providers and members

Process medical & hospital claims for payment or denial
Knowledge of CPT codes, diagnosis codes, DME, hospice care, reimbursement
Communicate with providers in regards to billing & resubmitting claims
Respond to email inquiries from providers & patients about coverage and pending claims for payment

• Processed benefit claims for members with accuracy and attention to detail.
• Reviewed documentation to ensure compliance with fund policies and regulations.
• Maintained up-to-date member records in the benefits administration system.