Dependable and skilled Billing/Collections Specialist successful at meeting high productivity, quality and performance standards. Efficient and competent professional. Strong researcher and meticulous attention to detail.
Overview
19
19
years of professional experience
Work History
Billing/Collections Specialist
Orthopaedice Specialists Of Conneticut
Brookfield, CT
01.2005 - Current
*Audit medical record documents and coding to optimize reimbursement by ensuring that all diagnosis and CPT codes support visits and complies with guidelines
*Use EncoderPro to review correct codes and diagnosis
*Timely and accurately prepare and enter claim charges using correct CPT, ICD-10, HCPCS and modifiers. Knowledge of E/M coding for consults, new patients and established patients.
*Submit clean claims to various insurance companies either electronic or by paper claims on CMS 1500 HCFA
*Communicate to insurance companies to resolve billing issues
*Send medical records if requested by insurance companies to review claims
*Print daily remittances from insurance website to allocate manually claims that have been processed and paid for accurate account reconciliation
*Confirm accurate transfer of outstanding balances
*Copy primary EOB's and send claims to either secondary or tertiary insurance companies
*Review monthly A/R report
*Work denied claims
*Conduct appeals to obtain reimbursement if claims are denied
*Prepare and complete check/cash deposits
*Insurance verification
*Insurance refunds
*DME billing
*Patient entry
Front Desk Receptionist
Danbury Surgical Associates
Danbury, CT
03.2003 - 01.2005
Answered multi-line phone system to respond to inquiries and transfer calls to correct departments and personnel.
Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
Calculated billings and posted charges to room accounts, reviewing charges with guests at checkout.