Accounts Receivable/coder/biller

• Feb 2022 - Present

ENT & ALLERGY ASSOCIATES - Tampa, FL • Working independently assigned providers from claims to denials • collecting outstanding insurance and patient payments. • reviewing and resolution of patient insurance EOB’s, insurance claim denials • calling insurance companies, re-filing claims, sending out any insurance correspondence i.e. Medical records • calling patients to answer billing inquiries • sending patient collection letters • preparing and sending patient accounts to the collection agency also preparing adjustment sheet for the review by the Doctor, Billing Manager or Assistant Billing Manager. • Answering billing phones and rotating voice Mail duties to assign to the correct party and return your assigned calls. • assigned daily tasks, i.e. mail and batching out credit card boxes. • Scrubbing claims before batching to clearing house. • Working with the MA, front desk or providers on discrepancies of claims before sending out. • Ensure dictations, procedures, or other results are in system • Ability to work with little to no supervision Show less

Eligibility Specialist

• Sep 2021 - Nov 2021

AppleOne-Department of children and families - Lakeland, FL Worked independently and remotely to work though claims queue’s focusing on priority tasks assigned daily As an Eligibility Specialist I provide case management services to an assigned caseload of low- and moderate-income applicants seeking rental and utility assistance in the wake of the COVID-19 Pandemic. I process client applications for assistance and serve as the client’s primary representative. I review intake forms to determine client’s eligibility for program benefits, make recommendations for award, generate agreements for execution, and, if required, perform income verification to fulfill funding requirements Serving as primary point of contact I provided technical assistance to clients to assist with the completion of required program forms and other documents. As the Eligibility Specialist i am responsible for ensuring any services provided to the client are documented along with organizing documents in the program tracking systems. Show less

Financial counselor/biller/collections

• Feb 2021 - Aug 2021

Patient Financial counselor • Counsel new patients on insurance benefits/coverage I.e. deductible, copay etc. Offer self pay packets for uninsured patients & Collect high co-ins, High ded or copay; Offer financing in house if needed. • Collect and post cash, debit or care credit payments towards copay, deductible or self-pay for treatment Meet with established patients or call on old balances and offer different options for payment • Schedule new patient treatment Answer all incoming billing inquiries and work account, claim or payments as needed. • COLLECTIONS • work the 121+ day bucket, all claims and notate communications with status and actions needed. • comunicate with Dr.Chrono (EMR) regarding claims <=$1000, inquire on status and actions needed, assign claims to be worked by them • Comunicate with GENTEM on all claims that need to be worked especially >=$1000 and monitor timely workarounds for claims to be paid • Provide Dr.Chrono (EMR) Training, as needed to staff • Manage high paying claim tracking sheet, ensure claims are being worked in a timely manner and update upper management with any issues or forward claims that require immediate attention to the appropriate party. • Verify benefits for Scheduled patients and advise front desk of any copay or co-ins or old balances that would be due at the following appointment. • Manage authorization virtual assistants tasks, ensure all are completed within a timely manner and offer assistance/guidance for any issues that arise. Monitor physician notes ensuring they are completed and signed in a timely manner; Report any issues to upper management of physician Show less

Billing Coordinator/coder/accounts receivable

• Jul 2020 - Feb 2021

Office and surgery out-patient Billing Team Lead Communicated company goals, Delegated tasks and reminded of timeliness, trained new employees, motivated team members, maintained open communication on new practices and policies. • International Classification of Diseases, 10th revision Clinical modifications (ICD-10-CM)Volumes 1 & 2, Current procedural terminology (CPT) coding for inpatient facilities • Knowledge of working Denials and Aging reports • Calculated figures such as percentage, allocating money and credits • Coded and processed customer invoice payments. • Verified details of transactions including funds received and total account balances • Researched and resolved billing and invoice problems • Speak with customers to explain billing policies and procedures over the phone and in person. • Receive and process payments from customers while updating their accounts • Input customer data and payments into billing system • Verify ins for appropriate billing (ie. Identify primary or secondary payers) • Posted insurance checks, paper and ERA. • Researched EOB for denial reasons and processed corrections or adjustments accordingly. • Managed all auto claims, payments, denials and communicated with adjusters for payments or claims processing issues. • Daily submission of clean claims for all carriers and services, verifying accuracy and policies per carrier • Process all secondary claims with required documentation and send to insurance via mail, electronic or faxed Show less

Medical Biller

• Nov 2019 - Jul 2020

Office inpatient and outpatient Billing • International Classification of Diseases, 10th revision Clinical modifications (ICD-10-CM)Volumes 1 & 2, Current procedural terminology (CPT) coding for inpatient facilities • Knowledge of working Denials and Aging reports • Calculated figures such as discounts percentage, allocating money and credits • Coded and processed customer invoice payments. • Verified patients eligibility and benefits for allergy treatment and procedures. • Contacted insurance company to obtain benefit/authorization information for upcoming appointments. • Calculated patients responsibilities based on benefits (i.e. co-insurance, ded etc) • Verified details of transactions including funds received and total account balances • Researched and resolved billing and invoice problems • Speak with customers to explain billing policies and procedures over the phone and in person. • Receive and process payments from customers while updating their accounts • Input customer data and payments into billing system • Verify ins for appropriate billing (ie. Identify primary or secondary payers) Show less

Credit services

• Dec 2018 - Nov 2019

Medical Billing Specialist

• Oct 2016 - Aug 2018