Joann Hernandez

Medical Billing Specialist

Permian Basin Rehabilitation Ctr

03.2018 - Current

Experience on The Rain Tree Ledger
Cross train in all positions at PBR
Scheduled Evaluations
Knowledge of ICD -10 Coding
Conducted regular audits of patient accounts for potential underpayments or overpayments due to incorrect coding or billing practices.
Processed medical claims ensuring compliance with insurance regulations and facility policies.
Audited billing statements to identify discrepancies and ensure accuracy in patient accounts.
Collaborated with healthcare providers to resolve billing inquiries and improve patient satisfaction.
Implemented streamlined workflows that enhanced efficiency in claims submission processes.
Trained new staff on billing software systems, improving team competency and productivity.
Analyzed billing data to identify trends, providing insights for operational improvements.
Led initiatives to enhance revenue cycle management, optimizing reimbursement rates and reducing denials.
Maintained up-to-date knowledge of coding updates, ensuring accurate claim submissions across departments.
Communicated with insurance providers to resolve denied claims and resubmitted.
Posted and adjusted payments from insurance companies.
Communicated effectively and extensively with other departments to resolve claims issues.
Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
Located errors and promptly refiled rejected claims.
Identified and resolved patient billing and payment issues.
Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Generated monthly billing and posting reports for management review.
Handled account payments and provided information regarding outstanding balances.
Processed payment via telephone and in person with focus on accuracy and efficiency.
Processed vendor and supplier payments on weekly basis.
Collected payments and applied to patient accounts.
Precisely completed appropriate claims paperwork, documentation and system entry.
Precisely evaluated and verified benefits and eligibility.
Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
Filed and updated patient information and medical records.
Coordinated with other departments to address any discrepancies or concerns related to charge capture or data entry accuracy.
Liaised between patients, insurance companies, and billing office.
Served as a subject matter expert on medical billing matters, providing guidance to colleagues on complex cases or unique situations.
Streamlined billing processes by implementing efficient workflows and utilizing advanced software tools.
Efficiently processed refunds or adjustments for patients when necessary, ensuring accuracy and compliance with company policies.
Monitored changes in payer requirements, adjusting billing practices accordingly to minimize disruptions in the revenue cycle.
Participated in departmental meetings, sharing insights and ideas for improving overall medical billing efficiency and revenue generation.
Printed and reviewed monthly patient aging report and solicited overdue payments.
Prepared billing correspondence and maintained database to organize billing information.
Reduced errors in medical billing by meticulously reviewing patient records and ensuring accurate coding.
Contributed to overall office organization by maintaining up-to-date records of all billed services and payments received.
Evaluated patients' financial status and established appropriate payment plans.
Continuously updated knowledge of industry regulations and compliance requirements, ensuring adherence to all applicable standards.
Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
Collaborated closely with the clinical team to ensure proper documentation was obtained for accurate billing purposes.
Increased overall efficiency of the billing department by regularly auditing internal procedures and suggesting improvements.
Educated colleagues on best practices in medical billing, providing ongoing training sessions as needed.
Developed customized reports for management review, highlighting trends in key performance metrics such as claim denial rates and days outstanding for accounts receivable balances.
Verified insurance of patients to determine eligibility.
Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
Posted payments and collections on regular basis.
Reviewed patient records, identified medical codes, and created invoices for billing purposes.
Prepared billing statements for patients and verified correct diagnostic coding.
Delivered timely and accurate charge submissions.
Adhered to established standards to safeguard patients' health information.
Reviewed patient diagnosis codes to verify accuracy and completeness.
Responded to customer concerns and questions on daily basis.
Collaborated with customers to resolve disputes.
Utilized various software programs to process customer payments.
Used data entry skills to accurately document and input statements.
Reconciled accounts receivable to general ledger.
Maintained accurate records of customer payments.
Audited and corrected billing and posting documents for accuracy.
Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
Monitored outstanding invoices and performed collections duties.
Created improved filing system to maintain secure client data.
Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
Encoded and canceled checks using bank machines.
Kept vendor files accurate and up-to-date to expedite payment processing.

Summary

Overview

Work History

Medical Billing Specialist

Education

Skills

Languages

Timeline

Medical Billing Specialist

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