Julie Koch
Monroe,GA
Summary
Efficient billing professional with 15+ years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
5
5
years of professional experience
Work History
Medical Billing Specialist
Integrated Healthcare Resources
01.2018 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Located errors and promptly refiled rejected claims.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Identified and resolved patient billing and payment issues.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Collected payments and applied to patient accounts.
- Posted and adjusted payments from insurance companies.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Precisely evaluated and verified benefits and eligibility.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Filed and updated patient information and medical records.
- Prepared billing correspondence and maintained database to organize billing information.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Liaised between patients, insurance companies, and billing office.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Evaluated patients' financial status and established appropriate payment plans.
- Maintained and updated collections tracking spreadsheet to help organize payment information.
- Managed collections claims for unpaid bills against estates of debtors.
- Pre-certified medical and radiology procedures, surgeries and echocardiograms.
Education
No Degree - Medical Insurance Coding
Georgia College And State University
Milledgeville, GA04.2019
Skills
- Active Listening
- Account Management
- Insurance Claim Requirements
- Medical Records Security
- Statement Distribution
- CMS-1500 Billing Forms
- Data Entry
- ICD-10 Coding
- Diagnostic Codes
- Reviewing Patient Information
- Medical Claims Submission
- CPT Code Modifiers
- Mail Sorting and Correspondence
- Prepare Statements
- Customer Service
- Statement Billings
- Insurance Authorizations
- Payments Posting
- HIPAA Compliance
- Records Maintenance
- Accounts Payable and Accounts Receivable
- Workers' Compensation Knowledge
- ICD-9
- Electronic Health Record Software
- Time Management
- Billing Codes
- Medical Billing Technology
- Medical Billing
- Adjustment Posting
- Medical Coding Knowledge
- Bill Payment
- Medicare and Medicaid Processes
- Claims Review
- Obtaining Authorizations
- Patient Identification
Timeline
Medical Billing Specialist
Integrated Healthcare Resources
01.2018 - Current
No Degree - Medical Insurance Coding
Georgia College And State University
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