Marta Mengesha

• Correctly coded and billed medical claims for various hospital and nursing facilities.
• Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
• Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
• Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
• Collaborated with healthcare providers to ensure accurate documentation, leading to timely reimbursements for services rendered.
• Streamlined billing processes by implementing efficient coding practices, resulting in reduced errors and improved revenue generation.
• Interacted with physicians and other healthcare staff to ask questions regarding patient services.

Performed receivable tasks, reconciled invoices, and ensured accurate financial transactions

Collaborated with cross-functional teams such as engineering, customer service and sales to resolve billing discrepancies and optimize financial processes

Managed invoicing and analyzed financial data for decision-making

Handled collections and negotiated payment arrangements

Assisted in contract management and review

Facilitated vendor setup and maintained vendor relationships.

Maintained company records and documented operational data, shipping documentation such as proof of deliveries and bill of ladings.

Assist with maintaining customers tax exempt and resale certificate records

Met billing deadlines for month end and close.

Managed medical billing and collections for a diverse portfolio of healthcare providers

Successfully negotiated payment arrangements with patients and insurance companies, resulting in improved revenue flow

Evaluated accounts recommended for closure and assisted in report preparation.

Verified accuracy and integrity of motor vehicle and workers' compensation claims through careful research and analysis.

Flagged return claims and dealt with insufficient payments.