Results-driven Insurance Specialist with proven expertise at Southwest Ohio ENT Specialists, Inc. Skilled in claims processing and financial reconciliation, I enhance patient satisfaction through effective communication and problem-solving. My proficiency in ICD-10 and CPT coding, combined with strong documentation skills, has significantly improved claim recovery rates.
Overview
15
15
years of professional experience
Work History
Insurance Specialist
Southwest Ohio ENT Specialists, Inc
Dayton
08.2010 - Current
Process insurance claims with accuracy, ensuring timely reimbursement from multiple payers.
Communicate effectively with insurance companies and patients to resolve billing discrepancies, and improve satisfaction.
Manage denial reports and follow-up workflows, reducing outstanding claims, and accelerating revenue recovery.
Verify insurance eligibility and benefits to prevent claim rejections, and support patient care.
Balance daily EFT and lockbox deposits, maintaining balanced financial records.
Handle collection accounts with professionalism, improving recovery rates.
Submit prior authorizations to secure coverage for patient procedures.
Enter patient charges in the ECW system, ensuring compliance with ICD-10 and CPT coding standards.