I have worked in the medical insurance billing field for almost 20 years now working with various provider specialties all over the country. I really enjoy the challenge that comes with working with insurances and providers to find a resolution for claims that have been denied. I also enjoy helping coworkers with any tough problem they might need help on.
I handle the claims management for certain clients that our RCM Managers assigns to me. I make phone calls to the insurance companies to find out why the claim was denied or processed incorrectly, I take phone calls from patients, providers and insurance companies. Patient calls consist of them asking about their bill or why the insurance did not cover a procedure. Run reports to help see trends on the denial of certain codes, do period closes for clients to help generate the EDI files so claims can go out electronicly. Help train new employees and help fellow coworkers when they need it. Also help with any other project that the manager or lead may ask me to help with.
Entered charges sent over from the therapist and made sure all codes were correct before sending the claims out. Made phone calls and other inquiries to insurance companies to check the status of the claims and to check on any denials. Took phone calls from patients and providers in regards to statements and claims. Helped send out all statements every month and work on any projects needed by manager and helped coworkers with projects or claims when needed.
Worked on clients from different states and various specialties. Entered the claims and sent them out to the insurance companies and then did follow up with the insurance to check on status. Also took phone calls from patients, providers and insurance companies. Worked on projects related to the provider specialty to help claims get paid in a quicker turn around time. Helped coworkers with their projects or claims and any other project assigned by the manager.
This was my first year of college right out of high school, I transferred after one year.
Transferred here from BCCC and only completed one year due to the birth of my first child.
I have received several awards from various employers for my help with other coworkers and helping on certain projects. I have also received an encore award with my present employer for my willingness to learn, accept change and help others learn about claims management.
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