Linda Tran

• Process and submit accurate claims for infusion therapy services (IVIG, chemotherapy, biologics, hydration, etc.)

• Verify patient insurance

coverage, benefits, and prior authorizations before treatment

• Review physician orders and documentation to ensure correct coding and billing compliance
• Assign appropriate CPT, HCPCS, and ICD-10 codes for infusion services and medications
• Manage charge entry for

infusion drugs, supplies, and administration fees

• Handled multi-payer workflows involving 15-20 commercial insurances

• Send invoices and account updates to clients.
• Keep an accurate record of client accounts and outstanding balances.
• Receive, sort, and track incoming payments.
• Validate debit accounts to ensure the credibility of payments.
• Bill over 10 medical insurances
• Fax/Mail paper claims when needed

• Reviewed medical records
• Confirmed insurance information
• Submit and corrected claims
• Manually post insurance payments
• Called insurance companies
• Reviewed denials
• Verified insurance policies such as

BCBS, Aetna, Tricare, Medicaid, United Healthcare, Priority Health, etc.

• Reached out to insurance companies to discuss denials or claims that had any errors
• Submitted particularly secondary claims after reviewing if the primary paid or not
• Reviewed primary claims then entered information into secondary claims
• Sent coding denials to coding department via email
• Mailed out paper claims if there was an insurance that only accepted paper claims
• Communicated with various departments via email if needed for refunds or to correct payment positing errors
• Communicated with customer service department if a patient needed to be contacted about eligibility questions
• Contact doctor offices for authorization questions or issues
• Forwarded patient's requests for financial assistance to Financial
• Specialist
• Faxed documentation to and from insurance companies and/or doctor offices

• Assisted manager with daily tasks
• Took escalated calls/emails
• Handled teams of 6-8 employees
• Applied settlements, took payments via phone
• Confirmed insurance eligibility
• Kept in contact with providers for escalated issues if needed
• Set up weekly meetings tor employees
• Handled coaching call meetings
• Monitored live calls
• Reviewed employees ADP making sure punch times are correct