Dynamic Billing Specialist with proven expertise at Toothtown Pediatric Dentistry in resolving billing discrepancies and enhancing system accuracy. Skilled in insurance verification and payment processing, I excel in delivering exceptional customer service while maintaining compliance with regulations. Committed to teamwork and achieving high standards in accuracy and volume.
• Prepare and submit claims to insurance companies
• Follow up on unpaid claims within standard billing cycle timeframe
• Check each insurance payment for accuracy and compliance with contract discount
• Call insurance companies regarding any discrepancies in payments if necessary
• Data Entry of Claims, patient demographics, notations on accounts
• Review EOBs, remittance advice, and other correspondence from payers
• Maintain up-to-date knowledge of insurance regulations
• Posts insurance payments manually from lockboxes or electronically from remittances and/or accessing payer data websites.
• Reconciles batch amounts with bank totals and maintains a log of payments unable to be posted.
• Applies transactions message codes to paid and denied charges.
• Communicates payment and denial trends to management.
• Meets standards for accuracy and volume.
• Assists with projects and troubleshooting of various issues.
• HIPAA compliant
• Review and verify accuracy of billing data and revise any errors
• Prepare and submit claims to insurance companies
• Follow up on unpaid claims within standard billing cycle timeframe
• Call insurance companies regarding any discrepancies in payments if necessary
• Data Entry of Claims
• Review EOBs, remittance advice, and other correspondence from payers
• Maintain up-to-date knowledge of insurance regulations
• Meets standards for accuracy and volume.