Customer Service Insurance

Jasmine Catlett

**** ****** ***** ** ** Atlanta, GA 30331 *********@**.*** - 561-***-****

Perimeter Orthopedic - Atlanta, GA

June 2015 to October 2015

Billing Company Outsource

NextGen Software

Responsibilities

Working directly with the insurance company, healthcare provider, and patient to get a claim processed and paid

Reviewing and appealing unpaid and denied claims for Bcbs, Medicare Verifying patients’ insurance coverage

Handling collections on unpaid accounts

Verify charge sheets against Physician notes to ensure all charges are available for processing and all information available is correct Billing Account Representative

Palm Beach Orthopaedic Ins - Palm Beach Gardens, FL March 2006 to May 2015

NextGen Software

(Billing Account Representative)-2012-2015

Review EOB rejections for Commercial Insurance & Government Insurance including Medicare and Medicaid, other issues with outstanding accounts. Research and resolve incorrect payments, Re-submit insurance claims as necessary.

Ensure claims are entered and submitted within 48 hours of Dos, Verify correct ICD-9 and CPT codes with clinical notes.

Follow up on Insurance claims

Collected on pre-collection & Collection account

Accurately apply payments to patient accounts, Insure accuracy of insurance claims.

Post and reconcile insurance and patient's payments. Answer and resolve patient billing inquires

Review all accounts prior to appointment:

Complete insurance verifications two (2) business days prior to patients’ visits Review insurance eligibility summary, appropriate documentation, Knowledgeable in timely filing restrictions.

Payment posting

Communicate with physicians, patients, front desk staff, Self-pay vouchers, payment plans

Create alerts regarding balances, credits, and referrals Document all communication and interaction within an account Maintain HIPAA compliance

Train new staff

Communicate with the legal dept regarding LOP/Auto accounts Obtaining authorization/ Pre-certification as needed

( Palm Beach Orthopedic Ins ) Cashier-2008-2012

Data entry for EM charges (exposure to CPT/ICD-9)

Collect at time of service based on benefits

Posting daily patients money

Balancing and depositing daily collections

Schedule follow up appointments

Communicate with patients and physicians

Check out process with each patient by reviewing charts to ensure that all information is written properly and procedures are documented and match the signed routing slip that the Doctor has submitted

( Palm Beach Orthopedic Ins ) Front Desk Staff- 2006-2008 Greet patients and visitors

Exercise excellent customer service while interacting with patients both over the phone and in person.

Check in patients and complete patient registration in a timely manner Schedule patient appointments within operational standards. Keep front desk area clean and neat.

All other duties and responsibilities as assigned. Collect copays, balances, and self pay fees, Outstanding balance Maintain organized workspace

Collect and enter patient demographics and identification Skills

Centricity Software,eClinical Software, organizational and planning skills • communication skills with hearing impaired • confidentiality • problem-solving • flexibility • reliability • customer service skills• providing service for 16 Doctor in a practice

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