Dynamic Financial Counselor with a proven track record at Scenic Mountain Medical Center, excelling in patient payment collection and insurance verification. Known for a friendly, positive attitude and exceptional data management skills, I effectively communicate co-pay amounts and ensure service authorizations, contributing to streamlined operations and enhanced patient satisfaction.
Complete impatient payment collection and create estimates for outpatients CPT and ensure diagnosis code is a medical necessity. Check the impatient pack with Physician order for accuracy and make corrections. Ensure outpatient services are authorized before service. Communicate co-pay amounts and collect payment or set up payment arrangements.Register patients to include obtaining electronic signatures, digitally scan ID, and verified insurance cards. Prior experience in scheduling appointments for the Radiology department. Experience with PBX communications as Operator.
Knowledge of the workings of Medicare Part A, Part B and Part D, Medicaid Plans as well as ICD-10-CM, DRG, CPT and HCPCS codes. Utilize Meditech, Athena, Passport Onesource, and Form Fast Digital Signature. Experience with paperwork of behavioral health patients which includes authorization which includes diagnosis codes from insurance companies. Maintain employee time schedule. Made follow up corrections from the insurance audit. Document payments made into excel worksheet. Work as a team player to ensure all tasks are completed.
Training Certificate for Physician Medical Billing
HIPPA Compliance Training
Training for False Claim Act and STARK ACT