JESSICA MILLER

• Maintained patient records in compliance with security regulations.
• Maintained patient confidence by keeping patient records information confidential.
• Kept accurate log of requests for medical information and records.
• Checked the company's email and other communication system; answer, forward and log any incoming medical records request. Distribute any other inquires to appropriate individual handling.
• Retrieved and sorted medical records into proper chart order, ensured the records are updated.
• Responded to request for medical records copies and provided material in accordance with applicable federal and state laws.
• Maintained and controlled the release of information to the authorized person only; responsible for maintained strict confidentiality of medical records.
• Completed all forms submitted with the medical records request and notarized any legal documents.
• Complied with state and federal privacy laws and state statues in regards to billing and invoicing medical records.
• Properly released medical records, itemized bills and balance verification to insurances, patients, law firms and 3rd parties.
• Documented all communication relative to patient account.
• Communicated as needed with physicians and other health care professionals to clarify records request or to obtain additional information.
• Established a good professional working relationship and consistent communication with patient, agent or law firm that is inquiring the documentation.

• Handled the negotiation process with the law firm. Reviewed their reduction settlement offer and determined if the offer was agreeable and in accordance within corporate claim standards and state laws.
• Negotiationed settlement offers with commercial plans, 3rd party vendors such as Multi-plan and MARS.
• Knowledge of insurance, medical liens, Med -pay and other governmental entities, rules and guidelines.
• Resolved any issues professionally that came up, during the negotiation process.
• Strong analytical and problem solving.
• Effective and timely coordination of communication with agents, adjusters, attorneys and other appropriate parties throughout the arbitration.

MVA and attorney involvement claims

• Established relationships with most if not all law firms in state of Az.
• Consistent communication with the law firm on their client's case for dates of service seen by our provider.
• Managed assigned accounts ensuring outstanding/pending claims are paid in timely manner and setting proper follow-ups.
• Communicated with the paralegals, attorneys and did follow-up on their client's claim until the bill was been paid.
• Executed daily tasks diligently and efficiently.
• Reviewed bankruptcy notices received and processed accordingly.
• Answered any phone calls, emails and faxes.
• Assisted with any questions or concerns.
• Provided update status to patient, agent, adjuster and attorneys.
• Took payments over the phone for medical records fee and patient bill.
• Friendly, patient and calm under pressure.
• Good verbal and written communication skills and professional in all aspects.

• Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations.
• Processed medical records requests from outside providers, insurances, and law firms according to facility, state, and federal law.
• Maintained patient records systems by archiving, scanning and indexing important documents and files.
• Utilized electronic medical record systems to store, retrieve and process patient data.
• Kept accurate log of requests for medical information and records.
• Obtained necessary signatures on information release forms to submit medical and treatment records to authorized individual.
• Followed exact procedures for handling transfers and other releases of medical records.
• Registered new patients and updated existing patient demographics by collecting detailed patient information.
• Followed up with patients to reschedule missed appointments.
• Verified insurance coverage and eligibility for medical services prior to scheduling appointments to prevent billing issues.
• Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
• Assured timely verification of insurance benefits prior to patient procedures or appointments.
• Posted payments and charges to patient accounts and participated in billing processes.
• Identified and resolved patient billing and payment issues.
• Delivered timely and accurate charge submissions.
• Precisely completed appropriate claims paperwork, documentation and system entry.
• Attained up-to-date knowledge of coding requirements through continuing education courses and certification renewal.
• Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
• Created appeals with attached supporting documentation to reverse denied claims.
• Made contact with insurance carriers to discuss policies and individual patient benefits.
• Monitored changes in coding regulations to provide recommendations for compliance.
• Interacted with physicians and other healthcare staff to ask questions regarding patient services.
• Resourcefully used various coding books, procedure manuals, and on-line encoders.
• Communicated with insurance companies to research and resolved coding discrepancies.
• Established good professional work relationships with agents, case managers, attorneys and lien company's to assure the patient's case ran smoothly and efficiently during treatment by providing visit notes, status reports, billing and any other documentation in relation to patient's case. Communicated regularly via email, phone and fax.
• Assisted with IMEs by collecting crucial data and medical records for the physician to review. Prior to the independent medical exam. Submitted the results from the IME to the appropriate entity.

• Set up and entered patient information, medical records and data into the system.
• Performed insurance verification, precertification, and pre-authorization.
• Entered procedure and diagnosis codes, add modifiers, verify diagnosis.
• Collected, posted and managed patient account payments, prepared and submitted claim forms to insurance companies and other third-party payers.
• Followed up and maintained currency on claim status and aging report.
• Resolved any issues with rejected, denial and processing claims.
• Communicated with clients and patient inquiries regarding CPT, diagnosis, claims and payments.

• Opened the business completed the task of setting studio up.
• Logged phone calls and messages into the system, corresponded to emails.
• Called clients to schedule appointments and follow up on visits.
• Faxed, filed and entered data into the system, managed all the programs.
• Processed accounts receivable and accounts payable.
• After business hours closed and performed inventory.