Billing Specialist, December 2022 - Current
- Examine patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Precisely evaluate and verify benefits and eligibility.
- Determine prior authorizations for therapy services.
- Post billings to various insurance providers.
- Post and adjust payments from insurance companies.
- Collect payments and apply to patient accounts.
- Communicate with insurance providers to resolve denied/unpaid claims.
- Process billing calls and answer questions from patients and third-party carriers.
- Handle account payments and provide information regarding outstanding balances.
- Execute billing tasks and record information in company database.
- Work with patients to create flexible payment plans based on current financial condition.
- Precisely complete appropriate claims paperwork, documentation and system entry.
- Prepare billing statements for patients.
- Process medical records requests from insurance providers according to facility, state and federal law.
Scheduler, June 2022 - December 2023
- Answered high volume phone calls and messages, scheduling appointments and handling patient inquiries.
- Scheduled patient appointments in respective therapists' calendars and ensured patient was set up to receive reminder notifications.
- Provided detailed information about available services and requirements to patients.
- Balanced therapist and patient availability and when scheduling appointments.
- Assisted patients with rescheduling missed appointments and keeping them updated on attendance policy to promote high attendance.
- Collaborated with therapy clinic directors to build scheduling policies that were new to company and worked together on resolving patient inquiries or escalated complaints.
- Assisted with training and mentoring new schedulers on policies, best practices, and adhering to company policies.
Office Administrator, January 2020 - June 2022
- Aided with therapy prescription refill requests by submitting requests to physicians and communicating with physician's offices and patients to resolve any issues preventing the request from being completed.
- Processed medical records requests from outside providers according to facility, state and federal law.
- Kept accurate log of requests for medical information and records.
- Obtained necessary signatures on information release forms to obtain or release medical and treatment records to/from other service providers.
- Answered telephone calls to offer office information, answer questions and direct calls to staff.
- Sorted and distributed office mail and incoming faxes.
- Tracked office supplies and restocked low items to keep team members on-task and productive.
Office Billing Administrator, April 2018 - January 2020
- Posted billings to Medicaid.
- Posted and adjusted payments from Medicaid.
- Located errors and promptly refiled rejected claims.
- Identified and resolved patient billing and payment issues.
- Prepared billing correspondence and maintained database to organize billing information.
- Maintained and updated collections tracking spreadsheet to help organize payment information.
- Communicated with insurance providers to resolve denied claims and resubmitted.
Office Assistant, August 2017 - April 2018
- Answered multi-line phone system, routed calls, delivered messages to staff, and greeted visitors.
- Maintained patient charts manually and later electronically and updated information in alignment with HIPAA protocols.
- Supported smooth admission and discharge processes by handling associated documents.
- Assisted with maintaining office/clinic supply levels by monitoring and proactively replenishing supply inventory and requesting more product when supplies were low.
- Provided backup to front desk at multiple clinics to step in and assist with various task whenever employee was absent or at lunch.
- Assisted with restocking therapy rooms and maintaining clean, sterile spaces in clinic daily.
- Assisted with creating and maintaining invoices using company database.