Dedicated Insurance Specialist with a strong background in CPT, ICD-10 entry and payment posting. Known for effective communication and problem-solving skills, contributing to seamless insurance processes and successful team training.
Overview
7
7
years of professional experience
Work History
Insurance Specialist
Borland Groover
Jacksonville, FL
04.2024 - Current
Enter CPT, ICD-10, and modifiers accurately into the practice management system to generate insurance claims.
Accurately posting patient payments into the practice management system.
Utilized electronic health record systems for claim submissions and tracking.
Collaborated with insurance companies to resolve discrepancies with insurance payments, resulting in appeals, reconsiderations, and follow-ups.
Assisted in training new team members on insurance billing.
Coordinate with other departments within the organization regarding issues related to insurance and patient financial responsibility.
Record Medicare, Medicaid, and commercial insurance payments into the practice management system.
Research missing ACH (Automated Clearing House) payments, and record ACH payments into practice management systems.
Infusion Billing Specialist
Borland Groover
Jacksonville, FL
06.2019 - 04.2024
Combined and uploaded an explanation of payments and claims for submission to Copay Assistance Programs to assist in reimbursement for patient coinsurance and deductibles.
Tracked reimbursement payments on copay portals.
Recorded copay assistance program reimbursement payments into the practice management system.
Followed up on unpaid claims.
Collaborated with the Infusion Center to ensure that patients were accurately enrolled in Copay Assistance Programs.
Assisted in training new team members on Infusion Billing.