Greet patients in a professional and courteous manner
Clearly explain what is needed at the time of check-in, such as completion of required paperwork and out-of-pocket expenses
Document patient payments into Allscripts Software
Verify, update and copy pertinent insurance and personal information, such as driver's license or ID, insurance card, etc...
Use practice management system to accurately enter patient information
Confirm insurance coverage, referrals and eligibility on-line or via phone, prior to being seen by a provider
Address patient inquiries regarding account and forward to billing as necessary
Prepare Encounter Forms for patients 24 hours in advance of appointment
Provide patient with prepared prescriptions, x-rays, medical records, etc..., in accordance with Practice protocol
Reconcile cash at the end of each day and provide to a manager for approval
Schedule and reschedule appointments
Work early and late shifts as needed
Protect the security of medical records to ensure confidentiality is maintained, in compliance with office procedures and regulatory agencies
Assist medical records with indexing and purging inactive charts
Perform daily audits of physician/therapist dictations for signature and completion
Medical Billing Specialist Skills:
Submit insurance claims to all insurance carriers
Enter insurance and patient payment information into the Allscripts Software
Verify contractual pricing with carriers and notify Practice Administrator with discrepancies
Follow up with insurance carriers, within 30 days, regarding all unpaid claims
Process appeals paperwork with insurance carriers on denied claims
Run and review monthly reports, using the Allscripts Software to identify outstanding balances over 30 days of billing date
Assist in obtaining authorizations for all insurance carriers
Communicate with patients regarding billing questions and issues
Assist employees with insurance carrier questions, patient inquires, authorizations, etc...
Work with provider representatives to resolve insurance claims issues and questions
Print and prepare billing for all secondary claims
Coordinate month- and year-end reports to balance records
Work with employees to update and complete charges and receipts, prior to month-end, for timely closing
Perform quarterly Physician Assistant Audits, ensuring that signature and dictation match charges
Print quarterly Drug Pricing Audits for all carriers for Practice Administrator
Stay abreast of all regulations, laws, procedures and requirements of insurance companies, regarding billing and claims, by reviewing in-house material and going to off-site seminars/conferences
Maintain high level of confidentiality
Assistant with credentialing
Legal Secretary
Lawrence G. Bohlen, Esq., P.A.
Cambridge, MD
08.2005 - 07.2008
Developed ability to work in a fast-paced atmosphere
Maintained excellent customer/client relations
Ability to follow instructions well and make decisions without supervision, as well as in a group
Maintained all record-keeping procedures without error
Effectively developed telephone communication skills
Research and preparation of deeds and all legal documents
Accounts receivable
Office expense and payroll accounting
Education
Cambridge-South Dorchester High School
Cambridge
05-2005
Skills
Medical Insurance fluency (Medicare, Medicaid, Commercial Insurances)