Accurately interpret EOBs and post daily to patient ledgers
Contacted insurance companies regarding unpaid claims or denials and provided payer with the required information to expedite approval and payment
Identify medical coding procedure or fee errors and omissions, making necessary adjustments to patient accounts dependent on negotiated rates
Increased frequency of assessing insurance payment trend/collection reports to quickly identify denials and outstanding claims
Manage billing department, including overseeing coding, insurance claims, and payment posting
Ran weekly A/R aging report
Reviewed CPT and ICD-10 codes for accuracy on patient ledgers

 Analyze information in insurance application


 Determine the risk of ensuring a client


 Evaluate recommendations from underwriting software


 Contact field representatives, medical personnel, and other to obtain furtherinformation


 Decide whether to offer insurance


 Determine appropriate premiums and amounts of Obtain referrals and pre-

           authorizations as required for procedures.

 Policy documents preparations, signed and dispatches from official software and

           manually.

 Scanning important documents in official software in DMS

• Obtain referrals and pre-authorizations as required for procedures.
• Check eligibility and benefit verification.
• Review patient bills for accuracy and completeness and obtain any missing information
• 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
• Follow up on unpaid claims within standard billing cycle timeframe
• Check each insurance payment for accuracy and compliance with contract discount
• Call insurance companies regarding any discrepancy in payments if necessary
• Identify and bill secondary or tertiary insurances
• All accounts are to be reviewed for insurance or patient follow-up
• Research and appeal denied claims.
• Answer all patient or insurance telephone inquiries pertaining to assigned accounts.
• Set up patient payment plans and work collection accounts
• Update billing software with rate changes.
• Updates cash spreadsheet, runs collection reports.

1.Prepares asset, liability, and capital account entries by compiling and analyzing account information.
2.Documents financial transactions by entering account information.
3.Recommends financial actions by analyzing accounting options.
4.Summarizes current financial status by collecting information; preparing balance sheet, profit and loss statement, and other reports.
5. Secures financial information by completing data base backups.
6. Preparing daily expenses and monthly reports.
7. Maintaining company utility records and solving related issues.

• Receive payment by cash, check, credit cards, vouchers, or automatic debits.
• Issue receipts, refunds, credits, or change due to customers.
• Count money in cash drawers at the beginning of shifts to ensure that amounts are correct and that there is adequate change.
• Greet customers entering establishments.
• Maintain clean and orderly checkout areas.
• Establish or identify prices of goods, services or admission, and tabulate bills using calculators, cash registers, or optical price scanners.
• Issue trading stamps, and redeem food stamps and coupons.
• Resolve customer complaints.
• Answer customers' questions, and provide information on procedures or policies