Experienced in medical billing and coding with a strong focus on claim denial analysis, HIPAA compliance, and patient account management. Proven ability to resolve billing issues and enhance patient understanding through clear communication.
• Managed a high volume of patient accounts, providing timely resolution to billing questions and payment
concerns.
• Analyze patient statements and insurance EOBs to explain coverage, deductibles, and co-insurance responsibilities to patients.
• Negotiate and implement customized payment plans for self-pay and high-balance accounts.
• Identify and correct errors in patient demographics or billing codes to ensure accurate statements are issued.
• Managed a portfolio of patient accounts, ensuring accurate billing and timely resolutions of outstanding
balances.
• Conducted outbound calls to patients to discuss unpaid balances, explain insurance coverage, and
facilitate payments.
• Negotiated and monitored customized payment arrangements.
• Audited patient accounts to identify billing errors, insurance processing delays, or coding discrepancies,
and initiated corrections
• Monitored and managed an aging accounts receivable portfolio, ensuring timely follow-up on all outstanding claims.
• Initiated contact with insurance payers via phone, web portals, and email to resolve status inquiries and
expedite payments
. • Analyzed and appealed denied or underpaid claims by identifying documentation gaps and providing
necessary clinical information.
• Collaborated with the billing team to identify recurring payer issues and implemented strategies to prevent future denials.