
Dynamic Patient Account Representative with over a decade of experience at Upstate University Hospital. Expert in resolving insurance denials and verifying eligibility, demonstrating strong attention to detail and effective communication skills. Proven track record of improving claim resolution processes, ensuring compliance with HIPAA regulations, and enhancing team collaboration.
I have worked as a Patient Accounting Representative for Upstate University since July 2011. I resolve insurance denials, I verify Patient eligibility with insurance companies, I contact Insurance companies to resolve issues . I resolve payment discrepancies and appeal accounts that are denied for medical necessity or need medical documentation
I started working as a Medical Biller in 4/ 2000 - 7/07/2011, when Community General Hospital was acquired by Upstate Medical University Hospital. I worked various insurances, Medicaid, Blue Choice Options, United Healthcare and Total Care, I worked with Eclipses billing system, used spreadsheets, Microsoft Windows, Microsoft office,etc. My duties included verifying eligibility with insurance, checking payments, working denials, contacting insurance for status of billed claims, appeals. I also checked claims for correct charges and emailed Hospital Departments with charge questions or coding issues
I sorted bills and was responsible for giving them to the right people, filed folders, I sorted mail and other office duties as needed