
Performed data entry and maintained accuracy of insurance policies in the system. Assisted patients with insurance enrollment and claims processing. Advised patients on insurance policies and benefits. Resolved discrepancies and disputes between insurance companies and patients. Collaborative, analytical, and resourceful law enforcement professional with graduate and undergraduate degrees in Criminal Justice. Persuasive and influential communicator with a broad foundation of the criminal justice system, including the court system, policing, investigative and research techniques, public safety, corrections, and law enforcement. Customer centric with the ability to identify issues and provide solutions. Ability to learn and apply new concepts, working independently and as part of a team.Draw on strong listening skills to determine each client’s needs and recommend helpful resources.
Efficient billing specialist with 2+ years of experience performing various accounts receivable functions. Strong familiarity with claims procedures, collections techniques and customer query resolution. Knowledgeable about preparing invoices, processing payments and pursuing past-due balances. Well-versed in accurately coding different types of bills for clear record keeping and tracking.
Knowledge of retina authorizations for surgery.
Knowledge of medical insurances, policies, and protocols.
Knowledge of ICD-10 and CPT coding.
Experience verifying insurance benefits.
Ability to understand insurance claims (Explanation of Benefits).
Knowledge of retina/ophthalmology terminology as it pertains to surgical authorizations.
Experience speaking to insurance companies and obtaining authorizations.
Able to multi-task and work on multiple tasks at the same time.
team player
Experience using portals such as Navinet, Availity, UHC Link, Wellcare, and Emblem.