Ivette Woods

• Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
• Evaluated patients' financial status and established appropriate payment plans.
• Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
• Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
• Continuously updated knowledge of industry regulations and compliance requirements, ensuring adherence to all applicable standards.
• Verified insurance of patients to determine eligibility.
• Delivered timely and accurate charge submissions.
• Processed payment via telephone and in person with focus on accuracy and efficiency.
• Coordinated with other departments to address any discrepancies or concerns related to charge capture or data entry accuracy.
• Liaised between patients, insurance companies, and billing office.
• Monitored outstanding invoices and performed collections duties.
• Communicated effectively and extensively with other departments to resolve claims issues.
• Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
• Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
• Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
• Participated in departmental meetings, sharing insights and ideas for improving overall medical billing efficiency and revenue generation.
• Located errors and promptly refiled rejected claims.
• Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
• Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
• Communicated with insurance providers to resolve denied claims and resubmitted.
• Exercised leadership capabilities by successfully motivating and inspiring others.
• Passionate about learning and committed to continual improvement.
• Assisted with day-to-day operations, working efficiently and productively with all team members.
• Learned and adapted quickly to new technology and software applications.
• Demonstrated a high level of initiative and creativity while tackling difficult tasks.
• Proven ability to learn quickly and adapt to new situations.
• Worked well in a team setting, providing support and guidance.

Followed up on aged accounts.

Assist with front end patient registration.

Verified Insurance Coverage via EPACES, MVP, Availity and NaviNet.

MS office and Outlook proficiency.

Corrected claims edits to ensure timely filing.

Reviewed and updated patient demographic information .

• Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
• Continuously updated knowledge of industry regulations and compliance requirements, ensuring adherence to all applicable standards.
• Verified insurance of patients to determine eligibility.
• Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.

• Developed and implemented strategies to improve collection processes and reduce overdue payments.
• Negotiated payment arrangements with patients to establish timely receipt of payments.
• Handled account payments and provided information regarding outstanding balances.
• Contacted patients with past due accounts to formulate payment plans and discuss restructuring options.
• Produced and mailed monthly statements to patients and assisted with related requests for information and clarification.
• Generated monthly accounts receivable reports to submit developments for management review.
• Developed and maintained positive relationships with patients to maximize collections.
• Responded to patients concerns and questions on daily basis.
• Processed payment via telephone and in person with focus on accuracy and efficiency.
• Prepared and mailed invoices to patients , processed payments, and documented account updates.
• Participated in team projects, demonstrating an ability to work collaboratively and effectively.
• Learned and adapted quickly to new technology and software applications.
• Used critical thinking to break down problems, evaluate solutions and make decisions.
• Resolved problems, improved operations and provided exceptional service.
• Developed and maintained courteous and effective working relationships.
• Cultivated interpersonal skills by building positive relationships with others.
• Assisted with day-to-day operations, working efficiently and productively with all team members.
• Self-motivated, with a strong sense of personal responsibility.