Sophavy Ouk Gunterman

• Worked in collaboration with the appropriate parties to address billing discrepancies, process insurance claims, and manage patient payments.
• Examined Explanation of Benefits (EOB) statements from insurance companies to ensure they accurately reflect the provider's charges.
• Contacted patients for payment following insurance billing.
• Addressed all issues from incorrect or incomplete documentation associated with a specific claim.
• Handled customer questions about their billing statements and account balances.
• Updated patient records to reflect recent changes in addresses and contact details.
• I filed appeals for patients when necessary, following thorough research into their denied claims.

• Handle incoming and outgoing calls to arrange patient appointments.
• Gather relevant patient information at the time of scheduling.
• Knowledge of medical terminology
• Deliver courteous and exceptional customer service to patients, physicians, staff, and coworkers.
• Scheduling should align with the protocols for various modalities such as CT, MRI, SONO, DEXA, and others.
• Addressed all conflicts and issues arising from scheduling errors or missed appointments.

Upload patients accounts includes demographics, insurance information, and charges.

Ensure get task done quickly and accurately

Troubleshoots and corrects any problems.

Trains other personnel to perform all QA functions.

Exports data info from Royal to Imagine Software.

Runs reports from Radiology information system and Billing software compares data.

Data checked Diagnosis code, CPT codes, Precerts, and Waivers

Correct posting errors, add or removed modifiers

Correct Demographics and insurance

Assist with PAR members

Performs other miscellaneous projects that may assigned

• Complied with HIPAA guidelines and regulations for confidential patient data.
• Assisted patients with understanding personalized insurance coverage and benefits.
• Assured timely verification of insurance benefits prior to patient procedures or appointments.
• Made contact with insurance carriers to discuss policies and individual patient benefits.
• Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
• Updated patient records with accurate, current insurance policy information.
• Answered telephone calls to offer office information, answer questions, and direct calls to staff.
• Performed various administrative tasks by filing, copying and faxing documents.

• Greeted guests at the front desk and struck up warm conversations during the check-in procedure.
• Answered multi-line phone system and managed calls by routing to proper extensions or taking messages.
• Assisted clients with questions or concerns in a timely manner.
• Organized invoices for the accounting department, categorizing and filing them according to the date stamped and vendor code.
• Assisted with scheduling appointments for clients and visitors.
• Assisted with preparing reports, presentations and other documents as requested by management staff.
• Handle invoices for 3rd party
• Provided administrative support such as filing documents, photocopying and scanning materials.