
Bilingual Front Desk Medical Receptionist and Billing Lead skilled in managing patient scheduling and insurance verification. Expertise in resolving billing discrepancies and optimizing revenue cycles while ensuring HIPAA compliance. Committed to delivering exceptional customer service in high-volume healthcare settings.
• Schedule patient appointments and coordinate provider calendars while ensuring accurate patient information.
• Verify insurance eligibility and benefits for new and established patients.
• Submit and track prior authorizations for diagnostic testing and treatment services.
• Communicate with patients regarding appointment preparation, scheduling changes, and insurance requirements.
• Maintain accurate patient records and documentation while ensuring HIPAA compliance.
• Collaborate with providers and staff to obtain clinical information and resolve scheduling or authorization issues.
• Manage patient scheduling for routine and specialty appointments while ensuring accurate demographic and insurance information.
• Verify insurance eligibility, benefits, and authorization requirements for new and established patients.
• Serve as a primary point of contact for patients, answering inquiries and coordinating care through a high-volume multi-line phone system.
• Communicate appointment details, preparation instructions, and follow-up information to patients.
• Coordinate with providers and clinical staff regarding scheduling needs, patient concerns, and documentation requirements.
• Maintain and update electronic medical records while ensuring HIPAA compliance and data accuracy.
• Investigate and resolve claim and prior authorization denials, billing discrepancies, and insurance-related issues to ensure timely payment.
• Accurately assign ICD-10, CPT, and HCPCS codes based on provider documentation.
- Managed billing processes for legal services, ensuring timely invoicing and collections.
- Collaborated with attorneys to verify billing accuracy and compliance with client agreements.
- Verified accuracy of all documents related to billing process prior to submission.
Received and directed incoming phone calls, ensuring inquiries reached appropriate departments.
-Scheduled appointments and maintained the office calendar for staff meetings.
Front Desk Operations
Patient intake
Patient & Procedure Scheduling
Insurance Verification
Prior Authorizations
EMR/EHR Systems
Basic Billing Procedures
Claims Management
Billing Coordination
Basic Coding Knowledge
HIPAA Compliance
Bilingual English/Spanish
Multi-Line Phone Systems