Deborah Hayden

Senior Medical Billing Specialist/Billing Manager with over 25 years of experience successfully navigating the complex web of healthcare, with focus in insurance billing, both private and government. Superior customer service and problem solving skills. Experience scheduling appointments and procedures, as well as precertification, and preauthorization of procedures. Managing referral requirements, confirming eligibility and clarifying managed care arrangements. Advanced knowledge of multiple payment systems as well as contracts and other subjects affecting timely and successful billing processes. Managing revenue billing cycles to maintain low accounts receivable numbers and optimization of enhanced reimbursement. Collecting co-pays and deductibles, posting and submitting charges, interpretation of appropriate CPT and ICD-10 coding, retrieval and posting of EFT and hardcopy payments quickly and accurately. Full understanding of EOBs, and interpretation of patient policies and guidelines. Successful resolution of delinquent payment issues through investigation, interpretation and negotiation, including claims corrections, re-bills and appeals. Setting up payment plans. Professional and personable communication both written and verbal, successful at efficiently handling customer and provider inquiries and providing effective solutions. Ability to handle multiple projects simultaneously, self motivated, with many years of working remotely with integrity. Strong team player with high professional and personal ethics. Enjoy collaboration and problem solving.