Sherry Canerday

Attached records to referrals, verified insurance and diagnosis acceptance by provider, and dispatched referrals.

Did patient DI orders, verified if diagnosis code matched procedure code.

Made sure patients were notified.

Did reroutes and follow-up

• Facilitated appointment cancellations and rescheduling for patients, enhancing their access to care.
• Conducted follow-ups with patients to confirm appointments, ensuring efficient scheduling and minimizing no-shows.
• Answer phone calls and take messages for staff members.
• Updated patient information in databases and adhered to confidentiality requirements.
• Adhered to HIPAA requirements to safeguard patient confidentiality.
• Transmitted medical records and other correspondence by mail, email, or fax.

• Assigned & entered E&M, CPT and HCPCs codes as well as ICD/9 or ICD/10 codes to medical claims billing for reimbursement. Entered claims into Medical billing software. Reviewed claims for coding accuracy then sent claims electronic & paper. Maintained accurate and timely charge submission. AR posting Electronic & paper.
• Managed credentialing and re-credentialing processes for providers using PECOS and CAQH.
• Assigned Physician Quality Reporting System (PQRS) codes for patient billing.
• Assisted with referrals and prepared medical records for patients.
• Coordinated with insurance representatives to ensure timely claims processing and resolve issues.
• Completed and submitted appeals for denied claims.
• Resolved billing issues by liaising with Medicare, Medicaid, and private insurance providers.
• Processed payroll for employees, ensuring timely and accurate payment.
• Answered phone calls and scheduled patient appointments efficiently.
• Obtained Prior authorizations for procedures.