Strong combination of claims handling and insurance experience coupled with an exemplary computer and support services background. Experience in working in diverse situations, with strong administrative and customer service positions. Proven ability to lead and provide high-level support to team members and clients alike, while efficiently conducting operations.
Responsible for processing patient accounts using appropriate payment rules. Review claims for correct insurance, proper coding guidelines and relationship between diagnosis and codes; apply payer specific processing rules to charges, and initiate corrected claims; perform exporting of credits to a spreadsheet on a daily basis from the LabCorp work queue; notate individual accounts with proper documentation; respond to email inquiries; Adjust charges in the Lab Denial WQ; train new employees to process charges in the Lab work queue and develop training documents for that purpose; process charges for Ambulatory Service Center work queues and clear errors for those work queues; process and transfer charges for Lab Client accounts; act as a back-up for other team members during absence.
Within the scope of my job I also am experienced in the process of adding and correcting insurance and accounts, working company accounts to process employee related charges and billing them to the appropriate accounts, generating monthly invoices and posting and distributing payments, processing Third Party Liability and Work Comp charges.
Streamlined invoice processing for improved efficiency and reduced turnaround time. Handled account payments and provided information regarding outstanding balances. Strengthened relationships with insurance companies through regular communication, leading to smoother claims processing. Developed and implemented billing procedures to enforce compliance with company policies.
Proactively identified areas for process improvement within the billing department, contributing to increased efficiency and accuracy. Assisted in the successful completion of internal audits by providing comprehensive documentation related to billing processes.
Interacted with customers to resolve billing disputes and respond to inquiries. Adaptable and proficient in learning new concepts quickly and efficiently. Used critical thinking to break down problems, evaluate solutions and make decisions.
Medical Billing
Insurance Billing
Account Monitoring
Medical Terminology
Attention to Detail
Microsoft Office
Multitasking and Organization
Insurance Verification
Coding
Training and Teaching