Niki Green

ALN Medical Management

10.2005 - 08.2023

Provided excellent customer service, developing and maintaining client relationships.
Identified, researched, and resolved billing variances to maintain system accuracy.
Work with multiple departments to check proper billing information. Ex: front office staff with providers office, office managers and payment posting department.
Process and verify explanation of benefits to secure accuracy of billing information.
Review denied claims/procedures to determine if appeals need submitted.
Create and send appeals.
Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
Researched and resolved billing discrepancies to enable accurate billing.
Followed up on accounts and appeals by calling or obtaining access to insurance portals.
Balanced accounts weekly to make month end closing smooth and successful. Fix any discrepancies with cashiering department. Close accounts monthly by month end deadline.
Review collection report before sending accounts to collection agency.
Notify collection agency of patient payments made directly to providers office.
Post payments from both insurance companies and patients.
Call insurance companies to obtain missing explanation of benefits.
Experience using Excel, Word, Teams and Outlook.
Trained and Mentored new hires.

Summary