Trained in investigating and resolving insurance company disputes and communicating with patients regarding account balances and claim status. Hardworking, team-oriented, dependable and ready to help team achieve company goals.
Make phone calls and use insurance company websites to check on claims.
Identify why payment has not been received from the payer.
Follow up on unresolved claims to collect payment from the insurance carriers.
Communicate with third-party representative to complete claims processing and / or resolve problem claims.
Identify issues / trends and escalate to supervisor when assistance is needed.
Ensures secondary claims are accurately generated and submitted in a timely basis.
Provide general claims support by reviewing, researching, investigating, processing and adjusting claims.
Adhere to Payer Guidelines, polices and procedures.
Responsible for daily coding for patients being seen in practice.
Resolved or clarify codes and diagnosis with conflicting, missing or unclear information.
Effectively work with ICD-9, ICD-10, CPT and HCPCS reference book for proper billing.
Coordinated surgical procedure with other physicians and schedule pre-op and post-op appointment.
Applied Insurance payments from checks and EFT's.
Accurately apply patient payments to accounts and issue receipts.
Responsible for follow up on rejected, unprocessed and denied insurance claims.
Pre-set financial arrangement with patient to collect on accounts by telephone, mail or in person.
Handle patient dispute calls in a processional and courteous manner.
Count money in cash drawer at the beginning of shifts to ensure that amounts are correct.
Cashed and deposited checks, processed and issued money orders and cashier checks to members.
Maintained a balance drawer, inventory vault, and ATM at the end of the day.
Sort, count and wrap currency and coins.
Great in obtaining required referrals needed on a daily basis.
Maintained good customer service wait time by working the teller line when the bank was busy and short staff.
Responsible for retrieving stuck money from the ATM, and replenishing ATM for the next business day.
Prepared financial reports and deposits required at the end of the business day.
Performed interviews with management to help select the best candidate for the position.
Trained all new hires about policies, procedure and code of ethics.
Supervised others and provide on the job training.
EPIC Software
Availity Software
Microsoft Office
Insurance Provider Portal Software
Claims Processing
Insurance Verification
Electronic Medical Records (EMR)
Insurance and Patient Payment Posting
Medical Billing
Medical Terminology
CPT Coding
ICD-9 / ICD-10
Medical Assistant