Experienced Sr. Accounts Receivable Representative | Medical Biller |Appeals Writer| Precision-Driven approach with Comprehensive Revenue Cycle Management (RCM) Knowledge for more than 5 years.
Hello! I'm Georgia, a dedicated and detail-oriented medical biller, accounts receivable and appeals writer with over 5 years of experience in the healthcare billing sector. My expertise spans a wide range of medical billing tasks, including claim submissions, insurance verifications, submitting appeals, post adjustment, claims follow up and patient billing, ensuring accuracy and compliance at every step.
What I Offer:
Accurate Claim Processing: Proficient in using ICD-10, CPT, and HCPCS coding systems to process claims with precision.
Insurance Verification: Skilled in verifying patient insurance eligibility and benefits to avoid claim denials and delays.
Denial Management: Expertise in identifying, appealing, and resolving denied claims to maximize revenue for healthcare providers.
Patient Communication: Effective at managing patient billing inquiries, providing clear explanations of charges, and addressing concerns promptly.
Software Proficiency: Experienced with leading billing software and electronic health record (EHR) systems such as [EPIC, MEDITECH, ACE, WAYSTAR, CERNER, MICRO MD, ensuring seamless integration and accurate data management.
My commitment to accuracy and efficiency is matched by my dedication to staying current with industry regulations and coding updates. I pride myself on delivering top-notch service that meets and exceeds client expectations.
Let's work together to streamline your billing processes and ensure smooth, error-free transactions. Feel free to reach out to discuss how I can contribute to your success!
Specialties:
Claims Review and Billing
Denials and Appeals Management
Claim Management
Insurance Billing
Patient Accounts
Revenue Cycle Management Looking forward to collaborating with you!
Experience: 2 - 5 years
Duties/Responsibilities: • Prepares and submits clean claims to third party payers either electronically or by paper. • Identifies and resolves claim related issues. • Denial and insurance follow-up management • Issues adjusted, corrected and/or rebilled claims to third party payers. • Posts adjustments transfer of responsibility and refunds, as necessary. • Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations. • Completes missing charge reconciliation. • Assists with accurate and clear communication with clients and their patients. • Coordinates and implements special projects assigned by management, and in accordance with established timeframes. • Assists with staff coverage when an employee is away. • Assists with mentoring of support and advanced level staff. • Assists in resolving patient billing problems. • Completes Peer Reviews in a timely manner. • Manages the daily Revenue Cycle processes and communicates any issues/delays to their supervisor. • Works closely with staff in the Coding, Revenue Allocation and Patient Accounting departments who are assigned the same clients. • Works directly with the Client Liaison for assigned clients to ensure proper communication and that all issues are addressed in a timely manner. • Other duties as assigned. • Stay up to date on current coding requirements. • Work to set and achieve monthly S.M.A.R.T goals. • Ensure productivity standards are met. • Ensure Client KPI’s are met.
Experience: 5 - 10 years
Duties/Responsibilities: • Prepares and submits clean claims to third party payers either electronically or by paper. • Identifies and resolves claim related issues. • Denial and insurance follow-up management • Issues adjusted, corrected and/or rebilled claims to third party payers. • Posts adjustments transfer of responsibility and refunds, as necessary. • Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations. • Completes missing charge reconciliation. • Assists with accurate and clear communication with clients and their patients. • Coordinates and implements special projects assigned by management, and in accordance with established timeframes. • Assists with staff coverage when an employee is away. • Assists with mentoring of support and advanced level staff. • Assists in resolving patient billing problems. • Completes Peer Reviews in a timely manner. • Manages the daily Revenue Cycle processes and communicates any issues/delays to their supervisor. • Works closely with staff in the Coding, Revenue Allocation and Patient Accounting departments who are assigned the same clients. • Works directly with the Client Liaison for assigned clients to ensure proper communication and that all issues are addressed in a timely manner. • Other duties as assigned. • Stay up to date on current coding requirements. • Work to set and achieve monthly S.M.A.R.T goals. • Ensure productivity standards are met. • Ensure Client KPI’s are met.
Experience: 2 - 5 years
Duties/Responsibilities: • Prepares and submits clean claims to third party payers either electronically or by paper. • Identifies and resolves claim related issues. • Denial and insurance follow-up management • Issues adjusted, corrected and/or rebilled claims to third party payers. • Posts adjustments transfer of responsibility and refunds, as necessary. • Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations. • Completes missing charge reconciliation. • Assists with accurate and clear communication with clients and their patients. • Coordinates and implements special projects assigned by management, and in accordance with established timeframes. • Assists with staff coverage when an employee is away. • Assists with mentoring of support and advanced level staff. • Assists in resolving patient billing problems. • Completes Peer Reviews in a timely manner. • Manages the daily Revenue Cycle processes and communicates any issues/delays to their supervisor. • Works closely with staff in the Coding, Revenue Allocation and Patient Accounting departments who are assigned the same clients. • Works directly with the Client Liaison for assigned clients to ensure proper communication and that all issues are addressed in a timely manner. • Other duties as assigned. • Stay up to date on current coding requirements. • Work to set and achieve monthly S.M.A.R.T goals. • Ensure productivity standards are met. • Ensure Client KPI’s are met.
Experience: 2 - 5 years
Duties/Responsibilities: • Prepares and submits clean claims to third party payers either electronically or by paper. • Identifies and resolves claim related issues. • Denial and insurance follow-up management • Issues adjusted, corrected and/or rebilled claims to third party payers. • Posts adjustments transfer of responsibility and refunds, as necessary. • Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations. • Completes missing charge reconciliation. • Assists with accurate and clear communication with clients and their patients. • Coordinates and implements special projects assigned by management, and in accordance with established timeframes. • Assists with staff coverage when an employee is away. • Assists with mentoring of support and advanced level staff. • Assists in resolving patient billing problems. • Completes Peer Reviews in a timely manner. • Manages the daily Revenue Cycle processes and communicates any issues/delays to their supervisor. • Works closely with staff in the Coding, Revenue Allocation and Patient Accounting departments who are assigned the same clients. • Works directly with the Client Liaison for assigned clients to ensure proper communication and that all issues are addressed in a timely manner. • Other duties as assigned. • Stay up to date on current coding requirements. • Work to set and achieve monthly S.M.A.R.T goals. • Ensure productivity standards are met. • Ensure Client KPI’s are met.
Experience: 1 - 2 years
Duties/Responsibilities: • Prepares and submits clean claims to third party payers either electronically or by paper. • Identifies and resolves claim related issues. • Denial and insurance follow-up management • Issues adjusted, corrected and/or rebilled claims to third party payers. • Posts adjustments transfer of responsibility and refunds, as necessary. • Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations. • Completes missing charge reconciliation. • Assists with accurate and clear communication with clients and their patients. • Coordinates and implements special projects assigned by management, and in accordance with established timeframes. • Assists with staff coverage when an employee is away. • Assists with mentoring of support and advanced level staff. • Assists in resolving patient billing problems. • Completes Peer Reviews in a timely manner. • Manages the daily Revenue Cycle processes and communicates any issues/delays to their supervisor. • Works closely with staff in the Coding, Revenue Allocation and Patient Accounting departments who are assigned the same clients. • Works directly with the Client Liaison for assigned clients to ensure proper communication and that all issues are addressed in a timely manner. • Other duties as assigned. • Stay up to date on current coding requirements. • Work to set and achieve monthly S.M.A.R.T goals. • Ensure productivity standards are met. • Ensure Client KPI’s are met.
Experience: 6 months - 1 year
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