Kietta Harris

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• Conducts regular analysis and correction of daily verification edits between ADT Registration and the billing system.
• Maintains and updates insurance information for all patient files.
• Identifies patterns or malfunctions within the editing process of inconsistent workflows.
• Supports Insurance Verification Coordinator by participating in projects and report preparation.
• Ensures consistent accuracy in patient and billing profile.

• Work and resolve system TES edits in a timely manner.
• Research and resolve complex billing issues with team lead.
• Maintain accuracy of demographic and billing information for clean claim billing
• Assist with other department edits as needed

• Responsible for following up on denied medical claims, contacting Medicare, Medicaid, and commercial insurance parties in order to resolve denied or unprocessed claims
• Submitted corrected claims or appeals to resolve unpaid claims
• Answered incoming phone calls from patients and doctors offices to assist with billing questions or issues
• Investigated and resolved issues to maintain billing accuracy.
• Assisted in the other department when needed

• Developed and maintained positive relationships with providers and practice managers within the network
• Explained plan's policies and procedure to providers
• Resolved provider complaints and billing issues in compliance with policies and procedures
• Responsible for making outreach to providers and field to obtain necessary information to complete provider's file for initial credentialing process

• Received inbound calls from physician offices regarding precertification for radiology imaging
• Attached clinical information to cases for medical review
• Initiated contact to gather clinical and demographic date from physician offices
• Responsible for coding CPT and ICD 9 codes for imaging procedures in preparation for billing insurance.