Highly efficient Medical Biller with experience in Acupuncture, Chiropractic, Home Health and Physical Therapy. With over 4 years of hands-on experience in account management, personal injury, workers compensation, verifying eligibility, reprocessing claims, submitting appeals, revenue generation and medical billing for 25 providers offices across the United States. Adaptable and driven with strong work ethic and ability to thrive in team-based or individually motivated settings.
Responsabilities: Led a team responsible for managing the processing of claims and appeals with health insurance companies. Participated in revenue goal and strategy discussions with senior management in meetings. Reviewed patient accounts to ensure accuracy of charges, payments, denials and insurance reimbursements. Coordinated efforts between multiple departments related to medical billing activities. Provided training to staff on coding, collection procedures and HIPAA regulations. Resolved complex billing issues with patients, insurers and other third-party payers. Generated reports summarizing revenue cycle performance metrics such as A and R days outstanding, denial rates. Conducted regular audits of billing records to identify discrepancies in patient payment histories. Maintained detailed records of all financial transactions including payments received from patients or insurers.Advised management on best practices related to billing operations and customer service policies.
CEO-Frederik Schulin 310-697-6213
Program Director-Luther Graves 818-419-3211
Responsibilites-Identified errors and re-filed denied or rejected claims quickly to prevent payment delays. Posted charges, payments and adjustments. Completed appeals and filed and submitted claims. Posted and adjusted payments from insurance companies. Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Prepared billing statements for patients, ensuring correct diagnostic coding. Prepared and attached referrals, treatment plans or other required correspondence to reduce incidence of denials. Submitted refund requests for claims paid in error. Contacted patients for unpaid claims for HMO, PPO and private accounts and performed friendly follow-ups to ensure proper payments were made according to contracts. Collaborated closely with other departments to resolve claims issues.
Manager-Heather Skyy 805-371-9980 EXT:4209
Manager-Della Martinez 626-974-9720 EXT:7204
Responsibilities: Experienced at confirming patient demographics, collecting copays and verifying insurance. Process appeals when required and submit claims daily. Verify proper coding, sequencing of diagnosis and procedures. Determine customer eligibility for benefit programs and services. Excel at applying payments, adjustments and denials into medical manager system. Prepare and attach required claim documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials. Submit claims to insurance companies electronically and manually. Meticulously track and resolve underpayments while submitting refund request for claims paid in error.
Supervisor: Jacky Lemus (424) 488-0831
Responsibilities: Oversee multiple card games to ensure adherence to the rules and regulations, watching intently for dealing and payout mistakes. Working with numbers on a constant basis in a highly fast paced environment.
Contact: Knight Adventure Los Angles Office
Phone: (213) 507-8809
Responsibilities: Provided accurate and appropriate information in response to patient and clinical inquiries. Greeting patients, schedule office meetings and provide acute details in a written report. Attended monthly meeting with Medical Support Assistance to see what changes could be made to help improve patient satisfaction experiences
Supervisor: Marie Carter Phone (562) 826-5631 Extension 5463