Stacy Griffis

• Resolved claim denials/rejections for Medicare, Medicaid, and commercial insurance
• Monitoring and correction of edits
• Review & apply correct coding principles to denied claims
• Recognize trends & report to manager
• Wrote & submitted reconsiderations and appeals to bring claims to zero balance
• Maintained 95% accuracy
• Participated in projects as needed
• Worked independently & within an AR team.

• Collections and timely follow-up with government insurance, commercial insurance, and third-party payers to resolve claim delays, payment errors, and low reimbursement
• Approve & transmit claims
• Report trends to manager
• Resolve payor denials and submit appeals, update coding when required, resolve outstanding claims, and reduce improper payment.

• Resolved hospital claim denials/rejections for Medicare, Medicaid, and commercial insurance reducing accounts receivable
• Wrote & submitted reconsiderations and appeals to bring claims to zero balance
• Participated in projects as needed.

• Verified patient insurance information, guaranteeing correct claims billing and proper reimbursement
• Contacted patients prior to scheduled surgeries to review forms and explain out-of-pocket fee’s as well as answer their questions.

• Obtained patient benefit information, verified insurance eligibility and requested prior authorizations.
• Billed insurance & followed up on all unpaid claims. Worked closely with the clinical team regarding timely documentation & completion.
• Updated daily Accounts Receivable spreadsheet and completed EOM reporting functions. Worked closely with the accounting team to balance AR with bank deposits.
• Developed a system for tracking patient balances and generating statements.

Received diploma for medical assistant which included front and back office duties.