Jessica Pérez

* Participated in ongoing training sessions to stay current on industry best practices for medical billing and coding procedures * Contributed to practice growth by providing detailed analysis of revenue patterns that informed strategic business decisions on expanding services or locations offered.

* Provided exceptional customer service while addressing patient inquiries regarding billing issues or concerns.

* Established effective relationships with insurance company representatives to expedite claim processing times and increase reimbursement rates.

* Assisted with staff training on updated medical coding systems, ensuring accuracy across all team members'' workloads.

* Improved cash flow by negotiating payment plans with patients experiencing financial difficulties.

* Enhanced revenue by identifying and resolving billing discrepancies in patient accounts.

* Facilitated clear communication between medical providers, insurance companies, and patients for smooth billing operations.

* Implemented quality assurance measures to minimize errors in data entry, leading to increased claim approval rates from insurers.

* Collaborated with the collections department to address overdue accounts and recover outstanding payments.

* Developed comprehensive reports for management detailing trends in revenue generation, collection efforts, and outstanding balances.

* Ensured accurate coding and billing practices, resulting in reduced claim rejections and faster reimbursements.

* Maintained confidentiality of patient information by adhering to strict HIPAA regulations throughout the billing process.

* Updated and maintained patient accounts within the billing system, ensuring accurate records for future invoicing and reimbursement processes.

* Reduced account receivables aging through diligent follow-up on outstanding claims and prompt resolution of denials.

* Communicated with insurance providers to resolve denied claims and resubmitted.

* Verified insurance of patients to determine eligibility.

* Posted payments and collections on a regular basis.

* Collected payments and applied them to patient accounts.

* Accurately entered patient demographic and billing information in the billing system to enable tracking history and maintain accurate records.

* Filed and updated patient information and medical records.

* Liaised between patients, insurance companies, and billing office.

* Reviewed patient records, identified medical codes, and created invoices for billing purposes.

* Delivered timely and accurate charge submissions.

* Reviewed patient diagnosis codes to verify accuracy and completeness.

* Responded to customer concerns and questions on a daily basis.

* Used data entry skills to accurately document and input statements.

* Disbursed petty cash by recording entries and verifying documentation.

* Knowledge of Workers Compensation and No-Fault insurance

* Obtained authorizations for surgical procedures and Dme

* Ordered supplies

* Scheduled and handled fees and records for Drs. IME appointments

• Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
• Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
• Maintained computer and physical filing systems.
• Updated reports, managed accounts, and generated reports for company database.
• Conducted patient intake interviews, recording and documenting relevant information.
• Received and routed laboratory results to correct clinical staff members.
• Managed office bookkeeping with insurance billing and patient payments.
• Placed new supply orders, managed inventory and restocked clerical spaces.
• Greeted visitors and initiated triage processes for clients to streamline patient flow.
• Processed medical insurance claims and payments.
• Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
• Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
• Managed office logistics by scheduling appointments, maintaining files and collecting payments.
• Completed administrative patient intakes with case histories, insurance information and mandated forms.
• Prepared and processed patient referrals and transfer requests.
• Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
• Performed various administrative tasks by filing, copying and faxing documents.
• Communicated surgery requirements to nursing teams for smooth operation delivery.
• Coordinated with facilities to set up surgeries for Orthopedic patients.
• Updated daily operating room calendars with accurate appointment schedules.
• Took pre-operative orders from surgeons and anesthesiologists for smooth operation planning.
• Updated patient records to reflect upcoming surgeries and medical histories.
• Collated pre-operative lab and imaging results to facilitate surgery planning.
• Educated patients about surgeries and provided treatment plan documentation.
• Answered telephone calls to offer office information, answer questions, and direct calls to staff.
• Obtained pre-authorizations and pre-certifications ahead of scheduled surgeries.
• Verified insurance coverage and obtained pre-authorizations.
• Arranged pre-operative and post-operative appointments for surgical patients.
• Maintained a high level of organization in managing appointment calendars for multiple surgeons simultaneously without compromising accuracy or efficiency.