Medical Billing Specialist - Collector - Administrative Assistant
Claims appeal procedures Insurance processing Medical billing Knowledge of HMOs, Medicare and Medicaid ICD-9 coding, CPT and HCPCS coding | Customer service-oriented Durable Medical Equipment billing software, Brightree, Mestamed Software: All Windows operating systems, Microsoft Word, WordPerfect and Excel. |
Trained admitting, billing and collection staff.
Performed full-cycle DME medical billing in a fast-paced office.
Contacted insurance providers to verify correct insurance information and get authorization for proper billing codes.
Updated patient accounts and information on a daily basis.
Communicated with patients via phone, email and in person to obtain payments on outstanding accounts or accounts requiring deductibles or co-pays.
Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered.
Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.
Acquired insurance authorizations for services being provided to patient.
Provided administrative support for three physicians
Troubleshot and resolved Brightree software issues.
Added user accounts, troubleshot issues with users and monitored trained business staff on Brightree Software.
Transitioned all accounts from Mestamed software to Brightree Software.
Managed medical supply inventory, insurance records, patient charts and company files using Brightree.
Arranged and assisted with intake process.
Accurately entered procedure codes, diagnosis codes and patient information into billing software.
Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the payor.
Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature.
Applied payments, adjustments and denials into Brightree.
Received, inspected inventory, load, unload, segregate, stored, issued, delivered and turn in of organization and installation supplies and equipment.
Operate unit level computer(UCL)
Maintained automated supply system for accounting of organizational and installation supplies and equipment.
Issued and received small arms.
Secured and controlled weapons and ammunition in security areas.
Scheduled and performed preventive and organizational maintenance on weapons.
Completed registration quickly and cordially for all new patients. Acquired insurance authorizations for durable medical equipment that was being ordered by physician. Confirmed patient information, collected copays and verified insurance. Consistently informed patients of their financial responsibilities prior to services being rendered Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered. Accurately entered procedure codes, diagnosis codes and patient information into billing software. Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature. Remained up-to-date with all insurance requirements, including the details of patient financial responsibilities, fee-for-service and managed care plans. Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.
Companies Worked For:
School Attended
Job Titles Held:
Degrees
