Medical insurance specialist with over 12 years of expertise in insurance verification and claims processing. Proficient in obtaining authorizations and referrals for clinical visits and testing. Skilled in interpreting claims and billing statements, ensuring clear communication with patients. Demonstrated ability to manage multiple high priority projects while delivering exceptional customer service.
Greet patients, verify insurance information and collect copays
Post payments to patients accounts
Schedule appointments for testing and for follow ups
Scan medical records and documents, scan medical records and orders for testing
Call patients to confirm appointments
Programs used EClinical works and FormDr
Verified procedure codes
Verified insurance and obtained authorizations
Communicated effectively on the phone with patients and insurance payers
Completed and processed accurate insurance claims, both manually and electronically with Athena
Processed credit card and check payments
Posted all processed payments to patient
Answered incoming calls
Completed daily deposits for daily clinical revenue
Verify procedure codes
Verification of insurance
Billing of Primary and Secondary insurance
Post payments to accounts
Entering new medical claims into system
Claims handling and investigations
Excellent customer services skills
Obtaining authorizations for clinical appointment and testing
Process credit card payments
Process check payments