Quality-focused Medical Biller that offers a strong track record of over more than 2 years in settling and resolving complex patient billing accounts. Thoroughly experienced in handling medical charges and invoicing. Tech-savvy approach to understanding and resolving difficult areas of dispute.
1. Accurately reviewied and verified patient information, medical records, and insurance details to ensure proper billing and coding.
2. Generated and submitted claims to insurance companies or government healthcare programs for reimbursement.
3. Followed up on unpaid or denied claims by communicating through Fax, Call, and Emails to insurance companies, patients, or healthcare providers to resolve any issues.
4. Processed payments received from insurance companies or patients and updating the billing system accordingly.
5. Maintained detailed records of all transactions, including invoices, payments, adjustments, and collections, through CRM software such as Salesforce, Citrix, Peoplesafe and CovermyMeds.
6. Stayed updated on current coding guidelines and regulations to ensure compliance with industry standards through frequently updated insurance payer files.
7. Assisted patients with questions regarding their bills or insurance coverage in a professional and empathetic manner.
8. Collaborated with other members of the healthcare team to address any billing-related concerns or discrepancies.
9. Also also participated in tasks such as preparing third party copay coverage specifically Prudent, financial reports for management review, participated in audits and quality assurance initiatives related to billing practices, and provided training and guidance to other staff members when necessary.
Authorized to work in the US for any employer
Willing To Relocate: Anywhere