Desiree Barker

- Work rejected claims including in-house clearinghouse rejections and insurance denials.

- Resolve paid claims with remaining balances, including clerical and administrative denials.

- Research and correct posting errors, COB issues, registration inaccuracies, and insurance setup errors preventing claim processing.

- Analyze insurance denial codes and payer guidelines to determine appropriate resolution and next steps.

- Communicate with Medicare, Medicaid, and commercial payers to ensure timely and accurate claim processing.

- Support efficient revenue recovery through accurate documentation and follow-up within payer timelines.

• Communicated with insurance providers to resolve denied claims and resubmitted.
• Posted payments and collections on regular basis.
• Collected payments and applied to patient accounts.
• Prepared billing statements for patients.
• Adhered to established standards to safeguard patients' health information.
• Delivered timely and accurate charge submissions.
• Reviewed patient diagnosis codes to verify accuracy and completeness.
• Prepared accounts with past due balances.
• Liaised between patients, insurance companies and billing office.

Coordinated patient scheduling, check-in, check-out and payments for billing.

• Managed multi-line phone system and pleasantly greeted patients.
• Helped patients complete necessary medical forms and documentation.
• Adhered to strict HIPAA guidelines to protect patient privacy.

• I coded labs and radiology.
• I did transcription, everything from radiology to ER to basic notes.
• I also did medical records requests, thin charts with basic knowledge of retention schedules.
• I worked with in several systems including CPSI, 3M and Allscripts.
• I upkept reports including Ob, death and pathology and QAPI.