Zondra M. Campbell

Updating claim errors, CLIA, authorizations, denial follow ups, appeals

Follow up no response claims, corrected missing or invalid insurance

Keep management updated with trends, escalated slower payment issues

Used payer websites for policy updates, claim corrections, medical record submissions

• Responsible for billing, collection, and submitting of claims through electronic or hard copy formats
• A/R management of denials, appeals, contacting payers or accessing payer websites, provider portals to resolve any issues on claims
• Identify trends and report any recurring issues with Billing Supervisor
• Serve as a liaison between payers and hospital departments/physician offices and or patients
• Patient A/R follow up
• Communicate with health insurances for adequate claims submissions and timely payments
• Review and enter refund requests

• Responsible for billing, collection, and submitting of claims through electronic or hard copy formats
• A/R management of denials, appeals, contacting payers or accessing payer websites, provider portals to resolve any issues on claims
• Identify trends and report any recurring issues with Billing Supervisor
• Serve as a liaison between payers and hospital departments/physician offices and or patients
• Patient A/R follow up
• Communicate with health insurances for adequate claims submissions and timely payments
• Review and enter refund requests

• Worked A/R reports billing, claim submission, denials, and appeals
• Worked all credit balances and failed claims
• Interpret Explanation of Benefits for all type of insurances
• Resolved calls from patient and other departments about billing issues
• Sent out daily electronic claim transmissions to Navicure for physician and hospital claims
• Identified root causes and data billing errors on Navicure files
• Responds to all system support calls, emails and faxes sent for any billing and provider relations
• Working knowledge of medical billing HCFA 1500 form, UB form, ICD-10 Posting insurance payments

• Worked A/R reports billing, claim submission, denials, and appeals
• Worked all credit balances and failed claims
• Interpret Explanation of Benefits for all type of insurances
• Resolved calls from patient and other departments about billing issues
• Sent out daily electronic claim transmissions to Navicure for physician and hospital claims
• Identified root causes and data billing errors on Navicure files
• Responds to all system support calls, emails and faxes sent for any billing and provider relations
• Working knowledge of medical billing HCFA 1500 form, UB form, ICD-10 Posting insurance payments

• Implemented office rules, regulations, and policies
• Directing and supervising over clinical staff
• Notified and corrected issues with billing, denials, prior authorizations
• Entered and accepted charge entries through Nextgen and Navicure systems
• Administered all clerical duties, answered phones, faxes, emails, billing, and banking
• Ensured money was accounted for and taken in properly
• Completed daily reconciliation and bank deposits
• Oversee that physicians are using the correct coding when designating diagnosis
• Posted money amounts and verified collections

• Implemented office rules, regulations, and policies
• Directing and supervising over clinical staff
• Notified and corrected issues with billing, denials, prior authorizations
• Entered and accepted charge entries through Nextgen and Navicure systems
• Administered all clerical duties, answered phones, faxes, emails, billing, and banking
• Ensured money was accounted for and taken in properly
• Completed daily reconciliation and bank deposits
• Oversee that physicians are using the correct coding when designating diagnosis
• Posted money amounts and verified collections

• Prepared and corrected medical claims
• Resolved all discrepancies with medical claims and billing
• Thoroughly investigated all issues in corrected claims and appeals
• Provided training to hospital clinics to ensure accurate data entry for ms cans and Medicaid
• Posted money amounts and verified collections

• Prepared and corrected medical claims
• Resolved all discrepancies with medical claims and billing
• Thoroughly investigated all issues in corrected claims and appeals
• Provided training to hospital clinics to ensure accurate data entry for ms cans and Medicaid
• Posted money amounts and verified collections

• Utilized strong attention to detail while creating patient charts
• Completed all clerical duties within the office
• Entered in doctors charges and orders

• Utilized strong attention to detail while creating patient charts
• Completed all clerical duties within the office
• Entered in doctors charges and orders