Tina Robinson

Billing/Coding No-Fault and Workers Compensation Insurance Companies with CPT codes and ICD 10 codes.

• Reviewed patient records, identified medical codes for multiple medical providers for New York as well as New Jersey.
• Billed and coding an average of 250 patients on a weekly basis for fast-paced practice that specializes in No-Fault and Workers Compensation.
• Created and submitted claims to various WC and NF insurance companies by mail and electronically. Generated C4, C4.3, and C4.2 for workers compensation insurance companies.
• Worked alongside billing manager to make sure all claims were submitted and resubmitted in a timely manner
• Respond to delay/denials letter from Insurance company.
• Appealed, corrected and resubmitted claims denied by an insurance company
• Reviewed and audited medical reports dictated by multiple doctors and Physician assistants. Assisted with payment posting from insurance companies and patients
• A/R reports
• Applied charges and updated patient records by using Advanced MD and Advanced MD Module.
• Open/ sorted mail as well as send out necessary mail
• Communicated with insurance providers to resolve denied claims and resubmitted.
• Prepared billing statements for patients and verified correct diagnostic coding.
• Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
• Reviewed patient diagnosis codes to verify accuracy and completeness.
• Filed and updated patient information and medical records.
• Reviewed patient records, identified medical codes, and created invoices for billing purposes.

Manager of the BIlling Department

• Responsible for the collection, posting, and management of 5+ employees.
• Made sure the daily tasks were achieved by all employees.
• Conducted performance reviews and implemented improvement plans.
• Managed Billing functions, including charge entry, claims, payment posting, and reimbursement management.
• Created and submitted claims to various NF and WC Insurance companies
• Reviewed billing problems, researched issues and resolved concerns.
• Prepared itemized statements, bills, or invoices
• Created new standard operating procedures improving billing accuracy and cash flow.
• Performed bookkeeping work, including posting data and keeping other records concerning costs of goods and services and the shipment of goods for all medications.
• Typed and Printed Rx labels.
• Scanned necessary documents into the patient's charts.
• Developed policies and procedures for effective pharmacy management.

Medical Receptionist/ Filling Clerk

• Answered busy phones containing multiple lines.
• Scheduled patients medical consults and follow-ups.
• Answered busy phones containing eight lines.
• Managed medical front desk intake and discharge.
• Maintained filing patients records
• Responded to Medical Records request from Insurance companies as well as attorney offices. Respond to subpoena requests.
• Billing Clerk
• Prepared and mailed out claims in a timely manner
• Prepared packages for arbitration and trial
• Prepared surgical packages for multiple doctors
• Reviewed patient accounts and made claim status calls to Insurance carriers and attorneys.

Billing Department Supervisor

• Plan, direct and coordinate manufacturing operations and activities for 6+ employees Lead the operations of the billing department, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management
• Supervised billing office personnel, which included work allocation, training, and problem resolution; evaluated performance and make recommendations for personnel actions; motivated employees to achieve peak productivity and performance.
• Contact insurance carriers to check status, correct and resolve billed claims.
• Monitored all accounts receivable functions - insurance collection calls, follow up on denials and any open balances and ensured accuracy of all expense balances.
• Managed all outgoing claims to various insurance companies as well as any resubmissions and follow up when necessary.
• Developed and maintained courteous and effective working relationships.
• Thoroughly trained and supervised all new employees
• Used Microsoft Word and other software tools to create documents and other communications.