Billing Representative Relationship Manager
Resume:
Xenia Crichlow
Professional Experience
Concorde Medical Group
A/R Billing Representative
● Obtain referrals and pre-authorizations as required for procedures.
● Check each insurance payment for accuracy and compliance with contract discount.
● Identify and bill secondary or tertiary insurances.
● Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.
● Knowledge of medical terminology likely to be encountered in medical claims.
● Reviewing and appealing unpaid and denied claims.
● Verifying patients' insurance coverage.
● Follow up on unpaid claims within standard billing cycle timeframe.
● Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
● Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid. Advantage Care Physicians
Financial Coordinator
2012-2016
● Responsible for Daily Reconciliation of Center Cash Drawers.
● Keep staff updated with company policies and sages as necessary.
● Working directly with the insurance company, healthcare provider, and patient to get a claim processed and paid.
● Verifying patients' insurance coverage.
● Answering patients' billing questions.
● Handling collections on unpaid accounts.
● Managing the facility's Accounts Receivable reports. Preferred Health Partners
Relationship Manager
2009-2012
● Verify and update patients demographics and insurance information.
● Schedule follow up appointments as required by providers.
● Process and obtain referrals for various clinics including the radiology department. Education
H.S. Diploma
Medgar Evers Community College
2001-2003
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