Raven Breedlove

Following-up on denial for claims

• Submitting appeal for denied claims
• Calling insurance payers to check status of claim
• Submitted medical records to insurance payers
• Checking eligibility for patient
• Identified, researched, and resolved billing variances to maintain system accuracy and currency

• Check eligibility for patients.
• Verify insurance was valid
• Updated patient demographics

• Entering Surgery charges for all Ophthalmologist doctors
• Following-up on unpaid insurance claims
• Providing great customer service to patients regarding there balances
• Submitting patient refunds in a timely manner
• Verifying patient's estimated financials for surgery
• Contacting patients to go over financials and taking payments.

• Follow-up with insurance companies on unpaid or rejected claims, Due to coding, or non-covered charges
• Patient resolution through telephone contact
• Provide excellent problem solving techniques to help resolve accounts
• Implemented next billing, and or follow-up this is not limited to calling insurers and patient to resolve account
• Perform various collection actions including contacting self-pay patients by phone or mail, and correcting and resubmitting claims to third party.

• Verified patient's eligibility and claims status with insurance agencies
• Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribe
• Developed and achieve financial growth
• Adeptly managed multi-line phone system and pleasantly greeted patients
• Diligently filed and followed up on third party claims.