Highly efficient Accounts Receivables Representative with experience in General Medicine, Prosthetics, Orthotics, Molecular Diagnostic laboratory services. Excellent multi-tasker and demonstrated team player with a positive attitude. Skilled with technical, clerical and patient support. Strong ability to communicate clearly and effectively to patients, physicians, staff, third party payers, and Client Account Managers.
Applied payments, adjustments and denials into medical manager system. Submitted refund requests for claims paid in error. Ensure month end reconciliation completed and provided reports by deadline. Billed all lab claims with attached required documentation for prompt payment. Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received. Quickly responded to Client Account Managers, physicians, patients, and third party payers inquiries regarding detailed service provided and company billing process.
Thoroughly investigated past due invoices and minimized number of unpaid accounts. Carefully reviewed medical records for accuracy and completion as required by insurance companies. Strictly followed all federal and state guidelines for release of information.
Directed patient flow during practice hours, minimizing patient wait time. Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered. Maintained an organized logging system for tracking test results. Accurately entered procedure codes, diagnosis codes and patient information into billing software. Reviewed diagnostic and procedural terminology for consistency with acceptable medical nomenclature. Thoroughly reviewed remittance codes from EOBS/AR's.
Completed appeals and filed and submitted claims. Posted charges, payments and adjustments. Submitted refund requests for claims paid in error.
XIFIN, LIMS, Excel, Microsoft word, Outlook, 8x8 phone system, NextGen, SalesForce.
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