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Freelancer responsible for evaluating social media based on impact, interest, and context for client on this temporary project. Evaluators were required to follow guidelines to rate social media posts presented in random order. Project required signing of nondisclosure contract so information on this project is limited.

• Provided accurate, compliant and timely submission of insurance claims and resolution of incoming phone inquiries to provide accurate and efficient reimbursements.
• Reads and understands payor specific billing requirements.
• Reviews claims and account data to make applicable and corrections.
• reviews appeals, denials, non-covered services, reasonable charge cutbacks and low reimbursement to ensure maximum reimbursement in a timely manner.

• Temporary contractor with Scott and White Healthcare working in their medical billing offices.
• Utilized standard practices to continuously look for areas of reimbursements from insurance companies through analysis, reviewing, and troubleshooting work mainly with government insurance such as Medicaid and Medicare.
• Investigate claim and/or customer service issues as identified and communicate resolution to customers.
• Provide feedback to team members regarding improvement opportunities.
• Provides expertise and customer service support to members, customers, and/or providers.

• Initiated and conducted interview with patients for sleep studies, schedule appointments and follow ups appointments, and surgical procedures, as well as responsible for collecting sleep study data for physician.
• Prepared typed or computer printed material from drafts.
• Counseled and educated patients on use of durable medical equipment such as CPAPs, oxygen, and care of equipment.
• Ordered patient durable equipment, obtained authorizations for equipment and surgical procedures from health insurance companies, and reviewed charts to determine patient's eligibility for requested medication.
• Identified specific complaints, and whether patient is receiving continuous care or needs to be seen as a new patient.
• Generated monthly reports on Microsoft Excel and Microsoft Word.
• Reviewed patient's charts from surgery and emergency room for missing charges to determine correct diagnosis for health insurance billing in order to bring in more revenue to the organization.
• Maintained and safeguarded patient's records, used word processor to update patient demographics, and released medical records in accordance to HIPPA established guidelines.

• Resolved staffing nursing staff and CNAs to appropriate units within the hospital such as the oncology unit, psychiatric unit, ICUs and other units as needed.
• Collaborated twice daily with unit charges nurses, unit Vice Presidents, and colleagues in bed board meetings for placement of nursing staff and patients from ER and other units.
• Generated daily report schedule and input data for schedules.
• Conducted office duties such as confirming with outside nursing agencies for more staff using telephone, fax machine, and trained new employees.
• Represented department as a Magnet Champion in the WWH magnet initiative.

• Reviewed patient's charts from surgery and emergency room for missing charges to determine correct diagnosis for health insurance billing in order to bring in more revenue to the organization.
• Maintained and safeguarded patient's records, used word processor to keep patient information updated, and released medical records in accordance to HIPPA established guidelines.
• Encouraged quality patient care and autonomy for an improved and quality work environment for employees.

• Investigated claims processing for commercial, HMO, Tricare, and state medical insurances in a timely manner for reimbursement owed to hospital.
• Generated Medicare insurance revenue reimbursements from $300,000 per remittance check to $900,000 per remittance check.
• Provided training new personnel in claims processing department, maintained hospital systems, and reviewed patients' charts for correct diagnosis.
• Provided critical information to insurance company and physician's office to update patient information for filing claims and created spreadsheets for monthly reports.

• Prepared Tricare, HMO, commercial, Medicare, and State medical insurance claims for processing on computer system generated electronic transfer of daily claims to insurance company clearing house.
• Maintained patient records and signed out radiological films for patient referred to other physicians and facilities.
• Conducted receptionist duties such as arranged patient appointments, collected insurance information, and answered for patient inquiries directing patient to appropriate responsible personnel.