Kept up-to-date with details of insurance plans and company requirements regarding timely filing, and other essential changes pertintent the specialty billing for. Assisted in the daily operations of billing department. Reached out to patients to collect outstanding payments via one-time or negotiated installment methods. Responded to telephone and in person inquiries with a friendly demeanor and full knowledge of billing department processes.Analyzed and distributed updated customer statements on a monthly basis. Issue referrals to outside specialists as ordered by physicians. Updated customer accounts with interactions, payments and personal information. Initiated payment recovery for overpayments on patient accounts. Submitted appeals on behalf of patients for denied claims.Reported past due payments to collections once all other means exhausted. Performed Initial precertificatons for CT/MRI's and ultrasounds. Identify denial trends and address with providers and staff. Assisted check in and check out personnel on as needed basis.
Beachums Medical Billing Service, LLC - Indian Trail, NC -Owner/Operator
Responsible for obtaining new client accounts.
Drafted legal documents as needed to secure our bond such as Billing contract and Associate Business Contracts.
Was responsible for securing Internet connections so that we could interact safely from a remote site.
Managed all patient accounts, from data entry to patient statements/Collections.
Was an available consultant for my clients with a 24 hour or less turn around.
Fluent with 12 different medical/chiropractic billing softwares.
Utilized various clearinghouses to submit electronic claims.
Responsible for training and evaluating new hires.
Available for on-site visits as needed.
Attended insurance seminars when necessary.
Prepare daily reports and bank deposits. Record and scan patient data into medical billing system. Backup front desk operations as needed. Complete registration quickly and cordially for all patients. Confirmed patient information, collected co-pays and verified insurance. Answered and directed incoming calls. Monitored shared email in-boxes and ensured inquiries were addressed. Provided administrative support for three physicians. Accurately entered procedure codes, diagnosis codes and patient information into billing software. Consistently ensured proper coding, sequencing of diagnoses and procedures. Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered. Submitted electronic claim files via Trizetto/Gateway Edi. Quickly, responded to staff and client inquiries regarding CPT codes. Acted as a liaison between the business department, and third party payers in resolving billing and reimbursement accuracy. Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information. Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the clearinghouse of choice. Thoroughly reviewed remittance codes from EOBS/AR's. Completed appeals to denials. Posted charges and applied payments, adjustments, and denials into medical manager system. Submitted refund requests for claims paid in error. Prepared over-payment documentation. Carefully prepared, reviewed, and submitted patient statements. Ensured timely and accurate charge submission through electronic charge capture, including the billing and account receivables system and clearing house. Made recommendations for accounts to be referred out for collections. Maintained business expenditures via spreadsheet for company accountant.
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