Motivated medical billing and coding specialist with 13 years’ experience in billing and coding. Expertise in ICD 9 and ICD 10, CPT and HCPS coding. Highly skilled in analyzing and validating patient information, diagnoses, billing data and medical insurance. Leadership skills that enable the processing of high volume of patient information to achieve revenue generation goals.
Analyze aging for assigned operations and follow up on all outstanding accounts. Provide proper coding comments for all outstanding balances and rebill claims for any outstanding AR that is collectible. Provide detailed comments prior to the monthly Critical Account call. Process revenue adjustments throughout the month for assigned operations. Timely follow-up on insurance claims, denials, exceptions, or exclusions. Reading and interpreting insurance explanations of benefits.
Ensure the highest level of customer service is provided to patients, fellow employees, and referral sources. Maintain accurate and complete patient files, ensuring compliance with Hanger policies. Ensure the privacy and security of protected health information, per HIPAA rules. Assist with patient follow-up as directed. Enter patient demographics, and insurance verifications as appropriate. Record written documentation that is clear, concise, and accurate. File all patient charts and other documentation, following established guidelines.
Coordinate the scheduling of practitioner schedules to ensure proper coverage of patient appointments and out-of-office calls.
Monitor patient accounts, prepare patient statements, research, and analyze all patient accounts. Prepare accurate monthly billing adjustments. Investigate and resolve billing and accounts discrepancies. Manage and resolve customer inquiries. Collect, post payments to accounts, post office visits, and surgeries for nine physicians, and dispute denials with health insurance companies. Obtain authorizations when needed.