Experience

Quick Med Claims, LLC

• United States
• Financial Services
• 1 - 100 Employee

• Account Manager Support Supervisor

  • Nov 2017 - Present

• Billing Specialist

  • Nov 2016 - Present

  Meeting or exceeding in the productivity standards of my position. I am responsible for properly notating accounts reviewed, for attaching necessary documentation within the system or to paper 1500's and UBO4's. Calling patients, facilities, insurance, and attorneys as needed to research claims. Verify patient's insurance information utilizing various resources such as websites, telephone, IVR, and providers CSR when applicable. Generate and follow up on self-pay bills to patients… Show more Meeting or exceeding in the productivity standards of my position. I am responsible for properly notating accounts reviewed, for attaching necessary documentation within the system or to paper 1500's and UBO4's. Calling patients, facilities, insurance, and attorneys as needed to research claims. Verify patient's insurance information utilizing various resources such as websites, telephone, IVR, and providers CSR when applicable. Generate and follow up on self-pay bills to patients for that portion of the bill not covered by third party insurance. Respond to patient calls related to billing inquiries and follow up. Work return mail and bad address accounts. Obtain additional information from clients when needed, such as HIPPAA forms, pre authorizations from insurance companies and physician medical necessity forms in order to submit third party claims. Create, review and complete billing documents on RescueNet by using dates provided on patient care reports, physician medical necessity forms and hospital face sheet. Review and submit finalized claims either on 1500 or UBO4 paper form with supporting documentation to be mailed or submitting it electronically. Review denials make adjustments and/or corrections in order to resubmit claims for payment. File appeals when necessary in order to have a denial decision reversed. Submit 1500 and/or UBO4's forms to secondary insurance companies with required documentation such as explanation of benefits forms from primary insurance companies. Maintaining workflow to keep aging accounts at a minimum by following up on unpaid claims on a daily basis. Responsible for follow up on all assigned accounts that have reached collections to ensure they have been fully worked before turning them over to a collection agency. Process all insurance claim forms in accordance with Federal and State laws as well as departmental procedures.

• Certified Ambulance Coder

  • Jan 2016 - Present

  United States

• Support Supervisor

  • Jul 2013 - Present



Diversified Healthcare

• Hospitals and Health Care
• 1 - 100 Employee

• In-home healthcare provider

  • Sep 2007 - Dec 2013

  Primary responsibility for the personal care of the assisted living client Assist and encourage clients in making goals as stated in Care Plan Responsible for the physical and emotional safety of patient when out in public Other Responsibilities include cleaning, cooking, making doctors appointments and follow through with any doctor directions. Experienced in time management and problem solving to appropriately service the patients. Demonstrated proficiency in dealing with… Show more Primary responsibility for the personal care of the assisted living client Assist and encourage clients in making goals as stated in Care Plan Responsible for the physical and emotional safety of patient when out in public Other Responsibilities include cleaning, cooking, making doctors appointments and follow through with any doctor directions. Experienced in time management and problem solving to appropriately service the patients. Demonstrated proficiency in dealing with diverse groups of people including home health nurses, family members and company administrators. Show less