Cynthia Liddle

• Resolve unpaid claims using specialized follow-up process.
• Utilize computer programs to create letters and other documents.
• Electronically submit bills and appeals according to compliance guidelines.
• Respond to management and external payor inquiries.

• Double checked patient information and need before sending notice to manufacturer for drug purchase assistance.
• Performed internal review of patient accounts for availability of assistance obtaining specialty medications.
• Prepared accounts daily for patient enrollment in grant programs and generate reports to departments for further processing.

•Double checked patient information and need before sending notice to manufacturer for drug purchase assistance.

•Performed internal review of patient accounts for availability of assistance obtaining specialty medications.

•Prepared accounts daily for patient enrollment in grant programs and generate reports to departments for further processing.

• Submitted electronic/paper claims documentation for timely filing.
• Assisted in developing follow-up guidelines for staff consistency.
• Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
• Used administrative guidelines as resource or to answer questions when processing medical claims.

Medical Biller/Poster

• Submitted claims for multiple facilities, electronically and paper; post EOBs from EFTs and paper EOBs
• Participated in team projects, demonstrating an ability to work collaboratively and effectively.
• Forward billing issues thru company software to correct departments
• Strengthened communication skills through regular interactions with others.

• Utilized various software programs to process customer claims for insurance billing
• Filed primary, secondary, tertiary claims through in-house billing software
• Routed error claims to appropriate entity for collaboration of claim
• Worked multiple projects at same time developing additional time management skills

• Communicated with insurance providers to resolve denied claims and resubmitted.
• Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
• Precisely completed appropriate claims paperwork, documentation and system entry.
• Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
• Located errors and promptly refiled rejected claims.

• Answered customer support inquiries via specialized ticket tracking platforms.
• Met performance metrics for factors such as call volume thresholds and call time guidelines, producing exceptional customer feedback.
• Identified errors in software, forwarding issue to development and updated tracking documents.
• Utilized ticketing system to track customer requests and prioritize urgent needs.
• Troubleshot hardware, software and network issues to identify and rectify discrepancies.

• Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
• Participated in team projects, demonstrating an ability to work collaboratively and effectively.
• Used administrative guidelines as resource or to answer questions when processing medical claims.
• Managed large volume of medical claims on daily basis.
• Worked effectively in fast-paced environments.