
Experienced Quality Auditor with well-honed analytical skills with regulatory compliance auditing experience for 10 years. Solution-focused professional highly-regarded among peers and supervisors in the Revenue Cycle Management industry. Skilled auditor who works diligently with all levels of peers, management and external authorities.
Initial point of contact for all patient and provider inquiries related to anesthesiology services rendered by our practice physicians and mid-level practitioners.
Promptly and efficiently resolved/researched billing and claim errors.
Contact payors, medical facilities, and government agencies to compile demographic data.
Facilitated reception of guests and medical professionals visiting our organization.
Coordinated training of new hires in the patient services department.
A/R follow up and collection efforts.
Responsible for the steps in the process; the coder completes the abstraction and coding process, the charge transaction activity is moved by the coder to the Med Suite batch reconciliation station where the batch reconciliation specialist performs the verifications needed to release the charged transactions into the Med Suite System for the claims generation and filing.
Run concurrency reports and correct case times and names of anesthesiologist, and CRNA nurses. Verify information entered by medical coders.
Verified eligibility and demographic information for patients receiving DME.
Received patient referral information via fax, and email.
Reviewed the accuracy of diagnosis and procedural codes.
Educated patients on insurance coverage and benefits regarding durable medical equipment.
Compiled spreadsheets and databases for surgery scheduling.
Obtained prior authorizations for patients obtaining equipment.
Interpreted physician dictation of history and physical in order to abstract appropriate diagnosis and procedural coding.
Facility liaison between ordering physician/medical practices and DME provider.
Clarified and translated prescriptions prior to dispensing medication and supplying equipment to patients.
Dispatched drivers to deliver DME equipment.