Leah Crosthwaite

• Researched and resolved billing discrepancies to enable accurate billing.
• Identified, researched, and resolved billing variances to maintain system accuracy and currency.
• Worked with multiple departments to check proper billing information.
• Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
• Reduced errors in financial claim submissions by conducting regular audits of billed services.
• Responded to customer concerns and questions on daily basis.
• Responsible for working claim submissions, claim rejections, Denials, and Payment posting.

Utilized insurance portals, Niko Health, Okta, Outlook, Slack, Zendesk, and other operating systems on a daily basis.

• Collaborated with senior management on recommended improvements to the overall Medicare billing process, increasing efficiency and reducing potential for errors.
• Reduced claim denials by meticulously reviewing and correcting billing data prior to submission.
• Streamlined Medicare billing processes by implementing procedures that reduced errors and increased accuracy.
• Resolved complex billing issues by conducting thorough research and collaborating with relevant parties.
• Provided exceptional customer service by promptly addressing patient inquiries or concerns related to their Medicare bills.
• Managed a high volume of Medicare claims, ensuring timely submission and payment for medical services rendered.
• Trained new staff members on billing procedures and best practices, for Eversence, improving team efficiency.
• Reviewed patient diagnosis codes to verify accuracy and completeness.
• Audited patient accounts to identify discrepancies in billed services, correcting errors to ensure proper reimbursement.
• Monitored outstanding invoices and performed collections duties.

• Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
• Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
• Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.
• Developed rapport with hospital representatives through active listening skills, leading to higher retention rates and positive feedback from clients.
• Responsible for referral review, and initial insurance verifications.
• Created patient accounts with accurate patient demographics, and uploaded documents to EMR.
• Coordinated and scheduled equipment for delivery
• Assisted with the delivery of small DME to patients
• helped maintain warehouse inventory and records

utilized Brightree, outlook, excel, and other operating systems.

• Communicated with insurance providers to resolve denied claims and resubmitted.
• Communicated effectively and extensively with other departments to resolve claims issues.
• Located errors and promptly refiled rejected claims.
• Precisely completed appropriate claims paperwork, documentation and system entry.
• Requested, filed and updated patient information/authorizations and medical records.
• Liaised between patients, insurance companies, and providers office while working on obtaining CMNs and Authorizations.
• Monitored changes in payer requirements, adjusting billing practices accordingly to minimize disruptions in the revenue cycle.
• Verified insurance of patients to determine eligibility.
• Adhered to established standards to safeguard patients' health information.
• Utilized various software programs to process customer payments.