Michelle Ratliff

Create batch billing from time records and create all invoices for the clients as needed. Submit and ensure all clients electronic billing is process according to payer timely filing guidelines as needed. Review and confirm all EDI (claims)reports are accepted by the payers with no rejections.

Triage and work all EDI rejections . Confirm all provider numbers, NPI numbers and general billing information is configured in the clients database, Submit document to DSS worker for deductible clients. Process and submit paper claims for private pay and deductible clients. Collect all money due from payers, families and government entities per mandatory process. Resolve all claim denials per the mandatory process. Post electronic and manual payments to accounts. Maintain all service and Diagnosis code and billing configuration and rate per SOP. Review accounts receivable to identify posting or billing issues and resolve these issues.

Interacted professionally with clear, intentional communication, and set appropriate expectations on timeline of deliverables.

Increased revenue by identifying and resolving billing errors in a timely manner. Served as a liaison between clinical departments, finance, and administration, ensuring smooth communication for proper revenue cycle management. Ensured accurate billing with thorough audits of patient accounts and insurance claims. Improved patient satisfaction by providing clear, concise explanations of billing procedures and insurance coverage. Optimized revenue cycle, implementing effective strategies for claims management and reimbursement. Reduced turnaround time for claim submissions, ensuring compliance with healthcare regulations through diligent documentation. Developed and maintained up-to-date knowledge of coding standards, contributing to fewer coding errors and denials. Successfully navigated complex insurance disputes, resulting in recovery of substantial amounts of previously denied claims. Collaborated with cross-functional teams to resolve billing issues, ensuring patient satisfaction and loyalty. Facilitated seamless integration of electronic health records with billing software, enhancing accuracy of charge capture. Enhanced revenue collection efficiency with robust follow-up procedures on delinquent accounts. Boosted financial performance, establishing strong relationships with insurance providers and negotiating favorable terms.

Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes. Reviewed patient charts to better understand health histories, diagnoses, and treatments. Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes. Correctly coded and billed medical claims for various hospital and medical facilities. Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures. Maintained a high level of productivity while consistently meeting deadlines for claim submissions. Reduced claim denials by maintaining thorough knowledge of payer-specific requirements and guidelines. Streamlined the billing process for faster reimbursement by submitting accurate and timely insurance claims. Expedited claim resolution with insurance companies through clear communication and prompt follow-up actions.

Ensured accuracy in high-volume coding environments, applying codes for over 100 patient records weekly without compromising detail or compliance. Scanned and uploaded medical records into electronic medical records system. Researched and resolved medical record discrepancies.

Followed up with medical staff regarding missing information in patient records. Utilized electronic medical record systems to store, retrieve and process patient data. Submitting Appeals and reconsideration letters as needed.

Verified, coded and added modifiers to diagnoses.

Reduced claim denials by consistently applying knowledge of payer-specific coding requirements while preparing claims for submission.

Streamlined EDI processes for increased productivity with detailed documentation and standard operating procedures.

Answered telephone calls to offer office information, answer questions, and direct calls to staff.

Managed high call volumes while maintaining exceptional accuracy in appointment scheduling.

Used EPIC to schedule patients.

Worked closely with other departments to resolve complex scheduling conflicts or accommodate special requests from patients or physicians.Handled confidential patient information professionally, adhering to HIPAA regulations at all times.Verified insurance coverage and obtained pre-authorizations.Enhanced patient experience by efficiently scheduling appointments and managing daily calendars for multiple medical professionals.

Utilized electronic health record systems effectively to input accurate data and minimize errors in documentation or communication between providers. Facilitated smooth transitions between appointments by coordinating transportation services when necessary. Followed up with patients to reschedule missed appointments. Confirmed appointments one day prior to minimize missed appointments and maximize clinic with healthcare staff to verify alignment of appointment scheduling with clinic protocols. Answered phone calls and messages for 12-physician medical facility, scheduling appointments, and handling patient inquiries. Managed multiple schedules and prioritized tasks to meet demands of fast-paced work environment. Maintained confidentiality of patient information to comply with HIPAA regulations and protect patient privacy.

Efficiently managed high volume caseloads while maintaining meticulous attention to detail in scheduling logistics and documentation. Maintained strict adherence to HIPAA regulations, protecting the privacy of patient information at all times. Enhanced surgical team communication by maintaining accurate schedules and promptly addressing any changes or concerns.

Improved patient experience by efficiently coordinating pre-operative preparations and post-operative follow-up care.

Arranged pre-operative and post-operative appointments for surgical patients. Collated pre-operative lab and imaging results to facilitate surgery planning. Obtained pre-authorizations and pre-certifications ahead of scheduled surgeries. Maintaining a general knowledge of diagnosis specific to many different diagnosis and insurance plans. Able to multi-task while working as within a team to handle last minute changes that may occur to the providers schedules.