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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