Manage insurance accounts receivable, including timely, follow up of denied claims, contacting insurance companies for status of claims, and preparation of appeals.
Provide excellent standard of customer service when communicating with patients to resolve all inquiries regarding billing, outstanding balance, or overall account status.
Monitoring and resolution of denials - including root cause, resolution, re-submission of claim, claim acceptance, and payment receipt.
Follows up on denied authorization requests, and relays necessary denial detail to the provider to facilitate appeal and/or peer to peer reviews.
Posting Charges
Posting insurance and patient payments and adjustments
Research denied claims and contact payers for timely payment resolution
Served meals to residents in accordance with established schedules and dietary procedures.
Prepared tables by laying out napkins and utensils, refilling condiments and performing other preliminary tasks.
Served and assisted diners by carrying plates of food, taking and delivering beverage orders and refilling glasses.
Maintained customer satisfaction with timely table check-ins to assess food and beverage needs.
Education
Nursing -
Excel Health Institute
Manassas, Va
08.2016
Diploma -
Liberty High School
Bealeton, VA
05.2016
Skills
Bilingual (Spanish & English)
The ability to follow verbal and written instructions
Customer Service orientation
Teamwork
Time management
Multitasking
Computer Skills
Experience providing patient financial counseling on benefits coverage, account status, and patient financial responsibility
EXPERIENCE
ICD-10: 4 YEARS
References
Anayeli Gomez (571) 314-7523
Denise Garcia (571) 285-6536
Norma Morales (571) 357-8613
Timeline
Medical Billing Specialist
Professional Billing Services
11.2018 - Current
Dietary Aide
The Villa at suffield meadows
11.2015 - 11.2018
Nursing -
Excel Health Institute
Diploma -
Liberty High School
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