Moishantu S Guy

Post all cash accurately and timely into practice management system.

Utilizing appropriate write off codes and to ensure reimbursement specialists is consulted for further research

Posted deposit on reconciliation spreadsheet

Documents all batch posting transactions on deposit and reconciliation/FVC spreadsheet

Ensure proper payment and credit codes are reflected in accounts

Post all refunds into practice management system for account reconciliation

Hospital Demographics

Authorizations retrieval from hospital systems

Processing credit card payments

Pull remits for patient/insurance refunds

• Manage all aspect of Long Term(LTC) billing and client accounts
• Implement all government guidelines and client contracts
• Create monthly spreadsheets and client invoices
• Trained and mentored new associates according to team performance standards
• Completes and submits all necessary insurance forms and electronic claims to process claims in timely manner as required by all third party payers
• Research and resolve any electronic claim denials
• Maintains frequent phone contact with provider representatives third party customer service representatives pharmacy staff and case manager
• Reviewed and resolved discrepancies in received data and performed data verification routines in accordance with company procedures
• Initiated pre-authorization/pre-determinations for insurance to get verified and processed
• Online and phone representative insurance verification and COB billing, assist with grants and other secondary funding
• Managed Aging reports
• Enter payments from EOB’s; payment posting; auto posting 835s with reconciliation
• Entered dental/medical claims for various insurance
• Reconciled customer accounts and identified discrepancies for further investigation.

• Maintained communication with collection agencies, provides administrative support, and handles cash
• Management regarding activity on patient accounts
• Utilize CPT & ICD 10 to ensure appropriate billing & charges
• Establishes patient referrals, pre-certifications, and authorizations
• Processes and returns patient voicemails within 24 hours of receipt
• Updates changes in insurance screens, demographic information, and statement systems
• Initiates monthly payment contract on accounts up to $1000 for patients who meet guidelines
• Documents all actions taken on each accounts in systems.

• Responsible for accurately posting all payments and contractual allowances received by various sources
• Responsible for posting all edits generated from Health logic files
• Perform necessary research to insure EOB's/EOP's are posted to the correct invoices
• Utilizes IDX and SSI Document Imaging System to properly scan and link EOPs and EOBs at account level
• Assisting QA Team in Claim Edits to reduce number of insurance claims not filed to correct financial status classification
• Process and post patient payments at account level daily
• Ensures that all payments from various sources are posted by month end
• Establishing and maintaining a positive working relationship with management and co-workers to promote
• Quality service.

• Answer phones, schedule appointments, check patients in/out, EOBs, insurance verifications and pre-authorizations
• Enter patient demographic and charge information into medical billing system
• Maintain residents' funds accounts
• Process and post charges and payments, reconciliation of daily/monthly reports
• Scanning medical records electronically
• Utilize CPT and ICD-9 coding to ensure appropriate billing and charges
• Establishing and maintaining positive working relationship with management and co-workers to promote
• Quality service.