Wendy Heavener

Review and troubleshoot UB04 claims for twelve facilities to resolve issues to maximize payment and profitability. Verifies all of the information for claims billing is correct. Follows up by phone and Web portal on all unpaid claims to determine the next course of action. Responds to and interacts with staff and Insurance companies in order to get issues resolved. Create and bill claims through the Clearinghouse. Complete appeals when needed. Relays updated information regarding policy changes to the department. Train and shadow new employees.

• Adhered to strict HIPAA guidelines to protect patient privacy.
• Coordinated patient scheduling, check-in, check-out and payments for billing.
• Managed multi-line phone system and pleasantly greeted patients.
• Helped patients complete necessary medical forms and documentation.
• Checked patient insurance, demographic and health history to keep information current.
• Maintained current and accurate medical records for patients.
• Transcribed phone messages and relayed to appropriate personnel.
• Assisted as MA for nursing staff when needed
• Obtained authorizations for surgerys