Ricky George

• Verify patient behavioral insurance coverage and limitations with major private,
medicaid and Medicare insurance providers.

• Follow up on non-paid insurance claims and monitored weekly, monthly, and
quarterly reports for payment confirmation from clients and insurance companies.

• Led a team audit project recovering over $15,000 in past due patient accounts
and backed insurance payments

• Managed the referral process for a large behavioral health department,
processing over 30 referrals per day. Monday Thru Friday.

• Worked closely with insurance companies to handle claims, resulting in a 90%
reimbursement rate and 10% reduction in claim rejections.

• Resolved issues related to patient access, insurance coverage, and other barriers
quickly and efficiently.

• Developed and implemented effective strategies to increase referral volume from
primary care physicians.

• Trained new employees on the referral process as well as relevant policies and
procedures.

• Collaborated with billing team to investigate denied claims due to missing
referrals.

• Reached out to various insurance companies and patients nationwide to address billing issues.

• Trained four new team members and provided guidance/feedback to colleagues.

• Worked in high-volume medical coding and collections environment to maintain exceptional standards of excellence.

• Monitored trends in denials due to incorrect or incomplete coding practices within the organization's facilities

• Processed EOB estimates and collected payments on current and past due accounts across three locations.

• Screened patients for eligibility in financial assistance programs, resulting in a 70% increase in approved applicants

• Reviewed and processed ortho claims

• Resolved various billing discrepancies with private insurance carriers

• Handled front office responsibilities including scheduling appointments, welcoming new patients, and managing cash accounts.

• Conducted in-depth reviews of client's financial situations to identify areas of improvement

• Independently scheduled and registered new patients

• Trained three new receptionists

• Maintained cash receipts and resolved balance sheet discrepancies

• Ensured accuracy of patient information, co-pays, charges, and insurance details during check-in and check-out processes

• Received and distributed incoming mail

• Expedited the release of medical records to third-party agencies while adhering to HIPAA regulations

• Demonstrated excellent time management skills during the transition from paper charts to electronic health records as team leader.