With Over 6 years experience under my belt, I am the PERFECT contractor for your project,
I specialized in Eligibility verification, Account Receivable, Denial management, for family clinics and Hospitals,
• Expert with various billing software eg. Caretracker, eCW, Healthpac, OpenPM, Medisoft, and Mysis Tiger.
• Review and work all unpaid and denied insurance correspondence, both phone appeals and written appeals; confirm all patient demographics and insurance is current and up to date.
• Run review and work unpaid patient balance reports for payment by reading current notes and place for past due letters and phone calls.
• Prepare insurance/patient correspondences for coworkers by reviewing and batching for further attention and review.
• Review and work insurance and patient overpayments, prepare refund request and send to doctor’s office.
• Prepare and send uncollected patient payments to collections by writing up forms for the doctors to review.
• Ability to perform the duties of the payment entry specialist, charge entry specialist, AR specialist.
• Expert ability to add specific data such as specific information, including authorization criteria, CPT and ICD-10 code and date of injury.
• Reduce denials by correct use of modifiers, mapping and linking codes with services.
• Work with clients and group to facilitate information and resolve charge questions.
• Achieve goal of a 48 hours turnaround batch time.
• Keep manager informed of progress, achievements and issues;