Samantha Hill

Verified claim information for accuracy before billing submission.

• Processed primary, secondary, and tertiary insurance claims efficiently.
• Researched claim edits, denials, and payment discrepancies for timely resolution.
• Reviewed surgical coding accuracy prior to claim processing.
• Managed accounts receivable for insurance and patients to sustain cash flow.
• Conducted credit resolution activities for insurance and self-pay accounts.
• Navigated payer portals and billing systems to resolve claim issues effectively.
• Utilized NextGen, Amkai, Microsoft Office, and payer software systems daily.

Managed high-volume incoming phone lines while delivering patient-focused support.

• Scheduled appointments, follow-up visits, referrals, and care coordination services.
• Verified insurance eligibility, demographic information, and financial documentation accurately.
• Obtained and maintained precise patient records and medical information.
• Coordinated communication among providers, physician assistants, medical assistants, and patients.
• Handled sensitive patient concerns with professionalism and compassion.
• Ensured HIPAA compliance and maintained confidentiality standards at all times.
• Utilized Excel, Teams, EHR systems, NextGen, and other healthcare software effectively.

Posted insurance payments and denials through electronic remittance and paper systems.

• Recorded denial reason codes and researched claim discrepancies for timely resolution.
• Investigated unidentified payments and recoupments to ensure timely resolution.
• Validated account credits and processed refunds with accuracy to maintain compliance.
• Reviewed payer refund requests and determined actions according to policy guidelines.
• Processed daily deposits and executed account reconciliations efficiently.
• Liaised between care centers and corporate billing operations to improve communication.
• Maintained comprehensive documentation while adhering to data accuracy standards.