EXES HANKERSON

Address customer billing and insurance inquiries, ensuring effective resolution of issues with both Cmo medicaid and Traditional Medicaid and Medicare plans.

Collaborate with team members to manage payments, correct coding errors, and edit claims, contributing to improve revenue flow and reduce write-offs.

Conduct monthly meeting with provider representatives and efficiently execute first and second levels with insurance carriers to maintain claims accuracy.

• Followed all company policies and procedures to deliver quality work.
• Improved customer satisfaction rates through proactive problem-solving and efficient complaint resolution.

• Streamlined the charge entry process by collaborating closely with clinical staff to obtain necessary documentation.
• Ensured accurate reimbursement rates were applied during the charge entry process through consistent review of payer contracts.
• Reduced errors in charge capture by maintaining up-to-date knowledge of CPT, ICD-10, and HCPCS codes.
• Promoted a positive work environment, fostering open communication between team members to resolve complex billing issues.
• Verified insurance eligibility and information to update database.
• Improved charge entry accuracy by diligently reviewing and verifying patient demographic information.

• Coordinated with external collections agencies when necessary, ensuring seamless handoff of delinquent accounts while protecting company interests at all times.
• Increased customer satisfaction levels by promptly addressing inquiries regarding billing issues or adjustments needed on their accounts.
• Analyzed trends in payment patterns and customer behavior, identifying opportunities for process enhancements that would improve overall AR performance.
• Analyzed, prepared, and issued chargeback notices for payment to prevent third-party collection agency involvement.
• Identified, researched, and resolved billing variances to maintain system accuracy and currency.
• Prepared and mailed invoices to customers, processed payments, and documented account updates.
• Performed daily billing of claims to third-party insurance following guidelines of the UB04 AND HCFA 1500 manual.

• Reduced claim denials by diligently reviewing patient records for correct coding and billing information.
• Prevented unnecessary loss of revenue due to late or incomplete billing by meticulously tracking all accounts and ensuring timely submission of accurate claim forms.
• Provided essential support to the medical billing team, allowing for a more efficient and effective overall operation within the department.
• Maintained excellent relationships with insurance representatives to expedite claims processing and secure timely reimbursements for services rendered.
• Facilitated effective communication between healthcare providers, patients, and insurance companies to resolve billing disputes promptly.
• Processed online and paper appeal submissions and refund requests.
• Corrected, completed and processed claims for multiple payer codes.
• Handled account payments and provided information regarding outstanding balances.

• Assisted colleagues during peak periods or absences, showcasing teamwork skills while maintaining personal workload demands efficiently.
• Posted payments and processed refunds.
• Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
• Promoted a positive work environment by actively participating in team meetings and contributing ideas for process improvements.
• Streamlined billing processes for increased efficiency in managing patient accounts.
• Provided exceptional customer service, handling sensitive patient situations with professionalism and empathy.