Detail-oriented professional with extensive experience in claims processing, insurance verification, and medical billing. Proven ability to manage patient records and ensure compliance, driving timely reimbursements and reducing claim rejections.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Biller/Collector
Evergreen Hospice Care, Inc.
Cerritos, California
01.2013 - Current
Prepared detailed claims for submission to insurance companies in accordance with policy guidelines.
Submitted claims to insurance companies.
Ensured confidentiality of patient records by adhering to privacy protocols.
Verified patient insurance eligibility through direct communication with appropriate parties.
Verified insurance eligibility for patients by calling appropriate parties.
Processed and monitored invoices, payments, and adjustments, ensuring timely payment from insurance companies.
Collected, posted, and managed patient account payments.
Checked claims coding for accuracy against ICD-10 standards, maintaining compliance and reducing claim rejections.
Assisted with the preparation and analysis of month-end closing procedures for accounts receivable.
Biller/Collector
Evergreen Home Health, Inc.
Cerritos
01.2013 - Current
Coordinated with insurance providers to verify coverage and secure timely payments.
Prepared detailed claims for submission to insurance companies according to policy guidelines.
Processed billing statements for home health services and ensured accuracy.
Followed up daily on outstanding claims to expedite payment from payers.
Utilized billing software to track payments and manage outstanding accounts.
Maintained comprehensive records of billing activities, including charges, adjustments, denials, and collections.
Communicated with healthcare professionals regarding billing inquiries and disputes.
Managed patient records and maintained confidentiality in compliance with regulations.
Verified insurance eligibility for patients by calling appropriate parties.
Collaborated with other departments such as the clinical staff to obtain necessary documentation for processing claims accurately.