My Skills, Duties and Responsibilities include:
-Aware of HIPAA (Health Insurance Portability and Accountability Act) Guidelines that provides data privacy and security provisions for safeguarding medical information.
-Obtaining referrals and pre-authorizations as required for procedures.
-Checking eligibility and benefits verification for treatments, hospitalizations, and procedures.
-Reviewing patient bills for accuracy and completeness, and obtaining any missing information.
-Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
-Following up on unpaid claims within standard billing cycle time frame.
-Checking each insurance payment for accuracy and compliance with contract discount.
-Calling insurance companies regarding any discrepancy in payments if necessary.
-Identifying and billing secondary or tertiary insurances.
-Reviewing accounts for insurance of patient follow-up.
-Researching and appealing denied claims.
-Answering all patient or insurance telephone inquiries pertaining to assigned accounts.
I'm looking forward to helping you grow your business by sharing my experiences and expertise and learn more in the process.