Sarah Anosheh
Simi Valley,California
Summary
Results-driven Medical Biller with over 10 years of experience in account management, revenue generation, and medical billing/coding. Well-versed in the development of strategies to improve workflow and procedures to enhance revenue generation. Decades of experience in demonstrating leadership skills towards optimizing and sustaining organizational success.
Overview
5
5
years of professional experience
Work History
Medical Insurance Biller
Warner Plaza Urgent Care
Woodland Hills, CA
03.2021 - 04.2024
- Reviewed and processed medical claims for accuracy according to insurance guidelines.
- Verified patient information, such as demographics and insurance coverage, to ensure accuracy of claim submissions.
- Submitted electronic and paper claims to insurance companies for payment.
- Resolved denied or rejected claims by submitting appeals to the appropriate payer.
- Investigated and responded to inquiries from providers regarding claim status, payments, denials.
- Assisted in training new staff members on proper coding techniques and billing procedures.
- Performed daily audits of submitted claims to verify accuracy prior to submission.
- Generated regular aging reports detailing accounts receivable balances due from various third party payers.
- Monitored changes in government regulations affecting healthcare reimbursement policies.
- Performed data entry into computerized systems used for tracking patient encounters, services rendered, charges billed.
- Processed refunds associated with overpayments made by third party payers on behalf of patients.
- Ensured compliance with HIPAA privacy regulations when handling sensitive patient information.
- Filed and submitted insurance claims.
- Documented and filed patient data and medical records.
- Reviewed medical records to meet insurance company requirements.
- Performed routine quality assurance audits to promote data integrity.
- Reviewed received payments for accuracy and applied to intended patient accounts.
- Assessed medical codes on patient records for accuracy.
Revenue Cycle Specialist
Medtek
Woodland Hills, California
06.2022 - 08.2023
- Reviewed patient accounts to ensure accuracy and completeness of information.
- Analyzed claims data to identify trends in denials and rejections.
- Assisted with the development of new processes for billing, coding, collections, and reimbursements.
- Performed account reconciliations between insurance companies and internal systems.
- Audited payments from third-party payers to ensure accuracy of reimbursement amounts.
- Processed appeals related to denied or rejected claims in a timely manner.
- Collaborated with other departments to resolve customer inquiries regarding billing issues.
- Ensured all regulatory requirements were met when submitting claims for payment.
- Identified areas where process improvements can be made within the revenue cycle.
- Maintained current knowledge of insurance policies, procedures, regulations, and guidelines.
- Advised healthcare providers on best practices for submitting accurate claims for reimbursement.
- Monitored accounts receivables daily to determine appropriate follow-up action needed.
- Contacted insurance providers to check patient coverage.
- Developed reports detailing billing activities, including payment trends and denial rates.
Medical Insurance Biller
R.A. Fisher
Simi Valley, California
11.2018 - 03.2020
- Verified patient information, such as demographics and insurance coverage, to ensure accuracy of claim submissions.
- Resolved denied or rejected claims by submitting appeals to the appropriate payer.
- Conducted periodic reviews of all account receivables for accuracy.
- Expertly assigned charges and payments for medical procedures.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Collected, posted and managed patient account payments.
- Reviewed purchase orders, sales tickets and charge slips to compute fees or charges due.
Education
Associate of Arts - Liberal Arts And Sciences
Moorpark College
Moorpark, CA05-2012
Certificate - Medical Coding And Billing
Simi Valley Adult School And Career Institute
Simi Valley, CA08-2005
Skills
- Teamwork and Collaboration
- Multitasking and Organization
- Account Reconciliation
- HIPAA Compliance Certification
- Account follow-up
- CPT code modifiers
- Insurance payment posting
- ICD-10 Coding
- CMS-1500 Billing Forms
- Regulatory Compliance
- Medical record security
- Electronic Health Record Software
- Insurance Verification
- Insurance claims review and processing
- Customer Service
- Medicaid and Medicare Knowledge
- Clerical Support
- Commercial and Private Insurance
- Critical Thinking
- Medical Terminology
- Work Prioritization
- Data Entry
Affiliations
- Gardening, dog-walking, and antique shopping.
Languages
Persian
Full Professional
References
References available upon request.
Timeline
Revenue Cycle Specialist
Medtek
06.2022 - 08.2023
Medical Insurance Biller
Warner Plaza Urgent Care
03.2021 - 04.2024
Medical Insurance Biller
R.A. Fisher
11.2018 - 03.2020
Associate of Arts - Liberal Arts And Sciences
Moorpark College
Certificate - Medical Coding And Billing
Simi Valley Adult School And Career Institute
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