Tiane Striefel
Jamestown,ND
Overview
29
29
years of professional experience
1
1
Certification
Work History
Medical Reimbursement Specialist
Raymond L Larsen, MD
Jamestown, ND
06.1996 - Current
- Coded patient care records to provide accurate information for billing.
- Maintained historical records by microfilming and filing documents.
- Maintained a database of all reimbursements, payments, and other transactions.
- Weighed envelopes containing statements to determine correct postage and affix postage.
- Expedited payments by verifying accuracy and currency of vendor information.
- Prepared and posted weekly payments to vendors and suppliers.
- Ensured compliance with applicable laws and regulations when processing reimbursement requests.
- Verified clients' insurance claims coverage by coordinating with providers.
- Developed strong professional rapport with vendors and clients.
- Monitored changes in industry standards related to reimbursements and updated internal policies accordingly.
- Verified technical reimbursement questions for providers, billing and coding staff.
- Investigated complex cases involving multiple providers or incorrect coding issues.
- Determined medical necessity, using individual insurance carrier regulations.
- Reviewed and processed reimbursement requests in accordance with company policies and procedures.
- Collected coinsurance and deductibles from patients for rendered services.
- Participated in workshops, seminars, and training classes to gain stronger education in industry updates and federal regulations.
- Answered customer questions to maintain high satisfaction levels.
- Resolved discrepancies between provider documentation and insurance plan requirements.
- Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
- Attended seminars to remain up-to-date with coding guidelines and reimbursement requirements.
- Checked claims coding for accuracy with ICD-10 standards.
- Input statement information, reconciled accounts and resolved discrepancies.
- Performed insurance verification, pre-certification and pre-authorization.
- Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
- Responded to customer inquiries regarding the status of their reimbursement requests.
- Maintained confidentiality and integrity of patient data.
- Monitored customer account details for non-payments, delayed payments, and other irregularities.
- Collected, posted and managed patient account payments.
- Educated physicians, staff, patients and stakeholders on service documentation for procedures and coding requirements.
- Reviewed uninsured accounts, verifying medical assistance application process, charity care application and drug replacement program availability.
- Submitted claims to insurance companies.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Managed time effectively to ensure tasks were completed on schedule and deadlines were met.
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
Education
Center High School
Center, ND05-1979
Skills
- Billing software
Affiliations
- Camping
- traveling
- time spent with grand children
Certification
- EMT Expired
- CPR Expired
Languages
English
Professional
Websites
Timeline
Medical Reimbursement Specialist
Raymond L Larsen, MD
06.1996 - Current
Center High School