Tracy Bishop

Greet newly arriving patients and their families.

Complete registration process including verifying patient demographics, insurance and coinsurance and copays.

Schedule patients for new and recurring appointments.

Review and take payments then post to patients accounts.

Continue to acquire knowledge of insurance policies and check for updated insurance contracts.

Verify and complete authorizations if required for procedures using the CPT codes and HCPCS codes.

Process incoming referrals from outside agencies according to established guidelines and policies.

Collaborate with clinical staff to ensure timely processing of orders for tests, treatments and procedures.

Verify documentation methodically to avoid critical errors impacting care delivery and payments for service.

Review documentation for completeness and accuracy prior to submitting claims to payers.

Precertification and Benefits Clerk-

Coordinated benefits processing, including enrollments, terminations and claims.

Provided guidance on claims processing procedures to ensure timely payments.

Reviewed patient medical records to determine medical necessity for requested services and procedures.

Maintained detailed documentation of all activities related to the precertification process.

Verified insurance eligibility, coverage levels, and benefits prior to submission of precertification requests.

Explained eligibility details and affordability options to patients.

Prepared reports, invoices, letters, or medical records using word processing, spreadsheet, or other software applications.

Completed relevant insurance and other claim forms.

Provided follow-up on pending precertification requests to ensure timely processing.

Revenue Cycle Analyst -

Developed effective strategies for reducing denials and improving collection rates.

Resolved denied claims by investigating reasons for denial and taking appropriate corrective actions.

Generated reports on aged accounts receivables in order to identify areas needing improvement in collections processes.

Prepared data analysis regarding charge entry errors, underpayments, denials, utilizing various reporting tools such as Excel spreadsheets or Access databases.

Provided support to department managers by researching billing discrepancies and responding to customer inquiries.

Reviewed medical records for accurate coding prior to resubmitting denied claims.

Monitored insurance claims status on a daily basis to ensure timely reimbursement from payers.

Contacted insurance providers to check patient coverage.

Facilitated communication between nurses and doctors within the ER unit.

Adhered to HIPAA requirements to safeguard patient confidentiality.

Ordered supplies for the ER unit when necessary.

Transmitted medical records and other correspondence by mail, e-mail, or fax.

Maintained patient records and updated medical charts as needed for the ER department.

Provided administrative support to the nursing staff in a busy ER unit.

Filed patient information into appropriate databases in an accurate manner.

Verified patient insurance coverage prior to admission or treatment in the ER unit.

Served as liaison between family members and staff members in the ER unit.

Arranged hospital admissions for patients as required.

Performed clerical duties such as typing, filing, copying, faxing.

Displayed strong telephone etiquette, effectively handling difficult calls.