Insurance Verifier/Benefits Coordinator with experience supporting a busy Hospital that includes verifying insurance coverage, relying and understanding the information so that the patients can understand what type of coverage they currently have, obtaining insurance information and posting payments to patient accounts
Experience of more than 9 years in medical accounts receivable. Understanding of the department reconciliation process from both billing system and personal Exceptionally good in practices and principles of the financial aspects and lockbox and ERA posting. Knowing Office Package: Nextgen, Navicure, Microsoft Word, Microsoft Excel, Microsoft Access, Microsoft, PowerPoint and Microsoft Outlook Express. Self-motivated; capable of setting up useful priorities and take instant decisions and apply them to meet given deadlines. Proficient in Excel, Access and Word. Ability to define problem, collect data, establish facts and draw valid conclusions. Ability to contact insurance carriers. Audits accounts ensure payments, adjustments, charge corrections and denials have accurately posted. Knowledge of business applications Knowledge and understanding of managed care concepts QUALIFICATIONS Ability to work to minimize costs and limit efficiencies, while also ensuring that the services provided are the best possible. To be ability to keep up-to-date on changing federal and state laws governing healthcare. Depending on the type of facility, I will be able to oversee functions related to medical records and billing, as well as create work schedules for department heads and other staff members. In smaller facilities like medical offices and nursing homes, I will often get directly involved in day-to-day operations, from finance and marketing to the coordination of patient care programs.
Verify coverage with either insurance companies or either Self-pay, Understand and explain Deductible, Copays and Out of Pocket from insurance companies to our patients and their families. Provide understanding of healthcare benefits and coverage, Gathers information from patients to research and identify the financial responsibilities of the patients, authorize and post payments, Contact insurance companies to also gather information for pre-certifications or authorization, enter notes/comments into the computer system for all accounts and complete financial analysis and collect patient responsibilities.
Post payments ERA (electrically or manually), adjustments, Reconcile accounts, Understand Explanation of Benefits, Responsible and knowledgeable of detail audit for all credit balance related to posting payments and refunds, Download payments from lockboxes and electronically to ERA, create and adjust spread sheets, research and identify lost payments, answer phones regarding payments and patient accounts, Utilize systems generated reports to enhance posting accuracy and other administrative duties.
patients, Verifying Insurance benefits and discussing benefits to patients, Return Calls and make calls to patients about their balances, Send out Itemized statements, Respond to emails, Send secondary bills, Posting payment from Lockbox per explanation of benefits, Reviewing Explanation of Benefits to patients, Refunding patients and Insurance carriers in a timely manner and other administrative duties.
Devry University Sugarland, TX Bachelor of Science Healthcare Administration with a minor in Healthcare Management, 2015 Health Information Administration courseworkCoursework in Healthcare Management
Coursework in Medical Billing and Coding
Benefits, Posting, Credit, Lockbox, Payments, Accounts Receivable, Post Payments, Adjustments, Answer Phones, Audit, Billing, Medical Billing, Medical Invoicing, Cash, General Ledger, Purchase Orders, Reconciliation, Vouchers, Health Care, Accounts And, Financial Analysis, Health Care Benefits, Access, And Marketing, Audits, Excel, Finance, Managed Care, Marketing, Medical Records, Microsoft Access, Microsoft Excel, Microsoft Outlook, Microsoft Outlook Express, Microsoft Word, Ms Access, Operations, Outlook, Outlook Express, Power Point, Word, CPT, ICD-9, Health Care Management, Coding
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