Iris Chagoya

Identified insurance coverage and verified benefits in claims center. Reviewed and corrected outgoing claims to resolve issues. Assisted coworkers with inquiries and provided necessary information as a senior resource.

• I am in charge of entering patient demographic information. I also enter charges for several different clients. I follow up on AR where I work denials, rejections and unpaid claims. I answer patient billing calls and emails. Communicate with patients and healthcare office personal to obtain missing information in order to bill claims for payment. Special projects are very important. I work the excel reports and verify information from the reports in order to submit clean claims or to follow up on old claims. We work with several softwares such as Insync, Athena and EZ claims.

• I am a collections specialist and customer service rep. I answer patient calls and help to address their questions and/or concerns with their bills, service received, insurance coverage/eligibility and take over the phone payments. I also work denials and follow up AR. Working with different carrier portals and calling insurance companies to resolve claims issues such as medical records, insurance verification, coding denials, missing EOB and updates on missing/incorrect information. I work with several different portals and maintain notes in the system pertaining to any work done on the account and adding tasks for follow up work.

• Manage several provider account
• Enter patient demographics and insurance information and verify.
• Enter charges and submit claims to insurance companies through EDI.
• Pull ERA’s and post payments. Work denials and appeals on necessary claims.
• Communicate with providers offices and patients to maintain billing accounts in a acceptable manner.