Tiane Striefel

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.

Overview

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Medical Reimbursement Specialist

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Medical Reimbursement Specialist

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