Perform accurate billing and coding for four board certified plastic surgeons
Responsible for the submission of medical claims in a timely manner
Address complex billing issues in order to reverse the denial of insurance payment decisions
Appeal and submit corrected claims when needed
File all supporting patient documentation for patient claims to either the state or Federal IDR for possible additional reimbursement the provider may be entitled to
Proactively follow up on monthly outstanding accounts receivable
Payment posting
Interact with patients to advise them of their insurance benefits and what they will be responsible for
Generate daily reports to ensure accurate payment posting
Managed a high volume of payment posting
Reviewed provider documentation for accuracy and chose appropriate E/M code before billing to insurance carrier
Conducted patient eligibility checks to ensure active plan coverage and plan benefits before services were rendered
Submitted and monitored medical claims for a vast amount of providers and locations
Assisted patients with billing issues pertaining to their accounts
Submitted professional medical claims to insurance carriers
Posted insurance payments and posted the appropriate patient responsibility to the patients accounts
Reviewed and verified that all insurance payments were accurate and compliant with contract discounts
Worked directly with insurance carriers to resolve payment discrepancies, unpaid claims, referral submissions and prior authorization requests
Created spreadsheets for re-occurring issues involving insurance payments
Contacted and followed up with patients on unpaid balances, assisted in setting up patient payment plans and responded to all patient billing injuries
Performed patient vitals and accurately documented all pertinent information
Provided accurate assessments of patients symptoms to the providers
Scheduled appointments for yearly checkups and sick visits
Supervised and trained staff
Oversaw office inventory by ordering the proper and necessary medications, immunizations and supplies
Completed and processed all patient medical forms
Obtained prior authorizations and referrals
Managed a high volume of phone calls, scheduled appointments and verified all upcoming appointments
Checked patient vitals which included blood pressures, blood sugar levels and temperatures
Collected specimens from patients such as urine and stool samples
Recorded and reported vitals and health statuses to the on-call nurse
Assisted patients with their personal hygiene by helping them bathe, shave and brush their teeth
Certified Nursing Assistant
Certified in CPR
Certified Nursing Assistant
Certified in CPR