Medical Billing Associate
Reli Group
Baltimore, MD
02.2025 - 04.2025
- Processed medical claims using electronic billing systems for accurate reimbursement.
- Reviewed patient accounts to ensure compliance with insurance policies and protocols.
- Resolved billing discrepancies through effective communication with healthcare providers and insurance companies.
- Maintained up-to-date knowledge of medical coding guidelines and changes in regulations.
- Assisted in the preparation of financial reports to track billing performance metrics.
- Conducted follow-ups on outstanding claims to expedite payment resolution.
- Documented all billing activities meticulously to support audits and regulatory requirements.
- Increased accuracy in medical coding by cross-referencing codes with patient records and consulting with healthcare providers when necessary.
- Developed comprehensive knowledge of various payer requirements for successful claim submission, minimizing delays in reimbursement.
- Established effective relationships with insurance representatives, expediting resolution of payment issues and fostering collaboration toward shared goals.
- Facilitated clear communication between medical staff and insurance companies, improving understanding of coverage limitations and reducing claim rejections.
- Streamlined billing processes by implementing efficient electronic billing systems, reducing errors and increasing productivity.
- Maintained strict compliance with HIPAA regulations by safeguarding sensitive patient information during the billing process.
- Collaborated effectively with healthcare providers to ensure proper coding and documentation for accurate reimbursement.
- Contributed to team success by actively participating in brainstorming sessions aimed at identifying areas for improvement within the billing department processes.
- Played an integral role in the successful transition to ICD-10 coding, staying abreast of changes and ensuring the billing department''s compliance with new requirements.
- Improved accuracy of medical billing by reviewing patient records and conducting regular audits.
- Demonstrated strong attention to detail while managing multiple priorities within a fast-paced environment, consistently meeting deadlines without sacrificing quality.
- Enhanced revenue recovery through diligent follow-up on denied or underpaid claims.
- Verified insurance of patients to determine eligibility.
- Posted payments and collections on regular basis.
- Collected payments and applied to patient accounts.