Experience

Kareo

• Spain

• Advisor

  • Oct 2018 - Present

  Contact patients regarding accounts receivable balances and follow up and bring resolution to claims with specific denial reasons through appeal procedures. Apply ICD-10 and CPT code knowledge to collection of claims and keep current with changes in coding, payers, and insurance policies. Interprets EOB’s. Responsible for the printing, scanning and mailing of all documents with expectation of keeping all queues current on a daily basis. Responsible for the processing and follow-up of all enrollments for new and existing clients. Ensure that the enrollments are complete and accurate. Knowledge of Medicare, Medicaid, Commercial Insurance and Workers Compensation. Ability to handle multiple PM systems including AR Aging Reporting. Strong mathematical skills including calculating insurance benefits, deciphering EOBs and reviewing payment history and authorizations on patient accounts.Oversees the entire revenue cycle management process for their assigned customers to ensure a smooth initial experience that sets customers up for long term success. Focus will be on ensuring retention, growing customers book of business, and streamlining the billing operations of their customers through the implementation of medical billing best practices. Effectively communicate with assigned customers at all levels to ensure a thorough understanding of the customers needs and serve as the main point of contact for day to day support and billing issues. Effectively handle and contain provider escalations by providing solutions and progress on customer issues and complaints Show less

• Billing Specialist

  • Jan 2018 - Present



Oaks Integrated Care

• United States
• Mental Health Care
• 200 - 300 Employee

• Accounts Receivable Specialist

  • Aug 2014 - Apr 2016

  Verified and entered client's insurance, worked denials in a timely manner to ensure payment of claims, verified services against daily service logs to guarantee correct billing, entered and requested prior authorizations, processed all SAR billing, created, verified, and submitted K100’s for foster care payment, posted payments from various insurances, handled Easter Seals and DCP&P billing Verified and entered client's insurance, worked denials in a timely manner to ensure payment of claims, verified services against daily service logs to guarantee correct billing, entered and requested prior authorizations, processed all SAR billing, created, verified, and submitted K100’s for foster care payment, posted payments from various insurances, handled Easter Seals and DCP&P billing



Medical Diagnostic Laboratories, L.L.C. (MDL)

• United States
• Hospitals and Health Care
• 200 - 300 Employee

• Accounts Receivable Specialist and Medical Biller

  • Feb 2013 - Aug 2014

  PerformED insurance follow-up procedures, including correcting and resubmitting claims, sending and retrieving medical records, verifying eligibility of patient and coding appropriately for maximum payment. Research claim denials and file appeals. Upload all claims to clearinghouse. Reviewed records for completeness and compliance with regulations. Review claims for accuracy prior to billing to various insurance companies such as BCBS for all states, Medicare, Aetna, Cigna, Medicaid (all states), United Health Care, Tricare, and Humana. Thorough knowledge of Navinet, Availity, NJMMIS and various other websites Show less