Martha Ortega

Entered and verified Medicare, Medicaid, and commercial insurance information in Epic system. Initiate billing to all payers. Entered and verified secondary insurance to bill next responsible party. Assisted with charge correction.

Called commercial, Medicare, and Medicaid Insurance to verify patients surgery benefits.

Confirmed if preauthorization is required for surgery procedures by CPT codes and diagnosis.

Updated insurance information.

Notified patients of financial obligation for surgery procedures.

Handled correspondence and Explanation of Benefits.

Working knowledge of aging reports.

Connected with insurance providers through the entire claim process.

Submitted corrected claims.

Managed Reconsiderations of claim and appeals.

Obtained patient designation of authorization requested by insurance.

Managed proposals from third party vendor.

Mailed statement to patients.

Adjusted and closed accounts.

Pre-certification of benefits for patients.

Called insurance providers to gather benefit information.

Verified Medicare and Medicaid patients.

Updated insurance and contact information.

Notified patients of financial obligation.

Adhere to insurance guidelines and patient confidentiality.

Answered phone.

Responsible for patient check in.

Scheduled and confirmed appointments.

Updated patient's demographics.

Notified patients of financial obligations.