I am an experienced Customer Service Representative with over 20 years of full time professional experience seeking expanded opportunities, where my past and present experience may be effectively utilized.Customer Service Representative with management experience and exceptional people skills. Versed in telephone and computer attributes. Desires a challenging role as a customer service representative.
PC word processor, multi-line phone and ACD system, CPU, copier, fax machine, calculator, all hospital information applications (scheduling, registration, etc). Microsoft (Access, Excel, Outlook, Power Point) Medical Terminology. Understanding of medical billing and experience using the following billing system IDX,EPIC,MEDITECH,Keane.
Under the direction of a PUM,perform accurate and timely billing and collection processes: perform charge entry,claims processing,A/R management,payment posting, refund processing and other billing functions.
Gather and verify all information required to produce a clean claim including special billing procedures that may be defined by a payer or contract. Keep abreast of third party payer specific coding guidelines.
Verify registration information in several systems (IDX,EPIC,MEDITECH,KEANE) applying knowledge of medical insurance coverage to enter and edit registration if necessary.
Entering charges into IDX billing system in a timely and accurate manner. Recognize and determine proper charge entry sequences to produce accurate and complete claims.Recognize limited diagnoses for each procedure. Post time of service and lockbox payments. Review various edit list and take appropriate action to correct incomplete claims.
Handle correspondence and patient inquiries. Use various applications and reports to identify and work unpaid claims for collection/appeal.
Research and process refunds according to department policies.
Perform several different duties as required.
Skill Path Seminars
THE ESSENTIALS OF COMMUNICATING WITH DIPLOMACY & PROFESSIONALISM.
ACD, Billing System, Calculator, CPU, Emdeon Credit Card System, Onbase, Aviality, NPI registry, Copiers, Fax machine, Forms,Medical Terminology, Access, Excel, Microsoft Outlook, Word,Power Point, Nursing Policies, Doctors Protocols, Scheduling system, Avaya phones, website.
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