Medical Billing Specialist
Spectrum Vision Partners
- Prepared billing correspondence and maintained database to organize billing information.
- Located errors and promptly refiled rejected claims.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Collected payments and applied to patient accounts.
- Filed and updated patient information and medical records.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Liaised between patients, insurance companies, and billing office.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Monitored changes in payer requirements, adjusting billing practices accordingly to minimize disruptions in the revenue cycle.
- Identified and resolved patient billing and payment issues.
- Evaluated patients' financial status and established appropriate payment plans.
- Coordinated with other departments to address any discrepancies or concerns related to charge capture or data entry accuracy.
- Posted and adjusted payments from insurance companies.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
