Robbie Banks

• Used coded data to produce claims to insurance companies.
• Appealed and reviewed denied and unpaid claims.
• Posted patient and insurance payments.
• Verified patients’ insurance coverage.
• Answered patients’ billing questions.
• Handled collections on unpaid accounts.
• Managed facility’s accounts and receivable reports.
• Researched all information needed to complete billing process among which are information from physicians and providers.
• Reviewed coding information about diagnosis on charge and procedures performed.
• Reviewed and add charge information into data entry program.
• Processed electronic data batches.
• Produced/approved billing statements.
• Assisted with error resolution and denial management.
• Maintained required billing reports, records and files.
• Maintained strict confidentiality.
• Effecient in DrChrono EMR software, Klara, and ModMed EMR software.

• Managed and processed patients financial assistant application for specialty drugs for patients with Chromes Disease and Diabetes. The program was through Labcorp Drug Development Program, Entyvio Connect and Lilly Pap Care Program Assistance. Includes data entry, outbound calls to patients, insurance companies, and PCP offices.

• Surgical Scheduler for patients, hospital or surgery facilities, and insurance companies.
• Investigate delinquent accounts due to nonpayment from insurance companies & customers, rebilling claims, and file appeals.
• File billing insurance companies for the surgical procedures based off providers operative reports and pathological reports
• Oversee daily collections & accounts receivable activities, developing robust strategies to maximize collections and reduce aged accounts
• Facilitate billing calls, questions, and concerns from patients and third-party carriers to process claims and forward information to public, private, and commercial insurance companies
• Continuous attendance to insurance provider meetings and workshops when appropriate for better understanding on protected medical office operations and keeping patient information confidential per HIPAA

• Entered patient charges and payments into electronic health records to process refund requests and reconciled deposit and patient collections
• Identified discrepancies and carrier issues regarding billing and reimbursements while developing a strong professional rapport with vendors and clients
• Verified claims coding for accuracy with ICD-10 standards & implemented IMS, Citirx, and Meditech software to improve billing efficiency and accuracy
• Performed insurance verification, pre-certification, and pre-authorization
• Facilitated payment of invoices due by sending bill reminders and contacting clients to expedite payments by verifying accuracy and currency of vendor information