Karla Abbott

Medical Billing Supervisor

Advanced Orthopedics And Pain Management

12.2019 - Current

Submitted electronic and paper claims to insurance companies, Medicare and Medicaid to collect medical payments.
Analyzed medical records to satisfy insurance company mandates.
Reduced claim denials by maintaining up-to-date knowledge of insurance policies and regulations.
Managed a team of medical billers, providing guidance and support for their professional development.
Increased revenue by identifying underpayments and errors, ensuring proper reimbursement from insurance companies.
Reviewed outgoing bills for eligibility and accurateness.
Led patient account reconciliations by identifying and rectifying discrepancies within patient accounts, ensuring accurate billing and collection processes.
Improved efficiency in the medical billing process by streamlining workflows and implementing best practices.
Collaborated with physicians and other healthcare providers to resolve complex billing issues promptly.
Enhanced accuracy of claims submissions through thorough reviews and staff training.
Optimized workflow processes within the department, leading to a reduction in errors and delays in claim submissions.
Complied with HIPAA privacy and security regulations to protect patients' medical records and information.
Maintained current accounts through aged revenue reporting.
Followed up on legal claims, attending depositions as required.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
Hired additional staff members as needed while effectively managing resources during periods of high volume workload or employee absences.
Assisted patients by determining financial assistance available and setting up payment plans.
Collected payments and applied to patient accounts.