Elizabeth Feliciano

· Ensured that all AR was paid in a timely manner and at the highest reimbursement rate possible.

· Provided timely follow up of all zero-pays and denials.

· Corrected, appealed and resubmitted denied claims.

· Met deadlines, production goals, benchmark metrics (AR denials rates and adjudication rates).

· Verified and processed insurance refunds.

· Coordinated payer audit activity.

· Understood and remained updated with current coding and billing regulations and compliance requirements.

· Provided meaningful insight for preventing denials (E.g. combinations, payer specific policy changes) to the practice, the team and leadership.

· Reviewed and corrected information on claims including making sure CPT and ICD codes were linked.

· Submitted electronic batch to clearing house/ direct submission to insurances.

· Checked clearing house reports to assess if claims were rejected.

· Corrected rejected claims and resubmitted.

· Received EOBs or ERAs to detect denials.

· Monitored insurance payment activity.

· Posted payments from EOBs daily.

· Billed and/or refunded patients.

· Reviewed daily summaries for cash, refunds, write-offs and adjustments.

· Assisted in clerical duties including answering phones, filing letters, documents, and invoices.