Taking Prior Authrization for diferent medication like ADHD/GAD ETC
Contact insurance to review, appeal and or check on status of claims if unable to locate in provider portals
Performed billing and coding procedures for In pateint and Out patient services
Posted and adjusted payments from insurance companies 
Precisely evaluted and verified benefits and eligiblity 
Examined patient's insurance coverage, deductibles, Insurance, carrier payments and remaining balance not covered under policies when applicable.
Responded to customer request fro biling, payment, and Insurance information


Investigated and resolved patient inquiries and complaints quickly

Review chart documentation to ensure the patient meets medical policy guidelines.


Collaborated with medical providers and office management to determine billing and documentation policies and ensure compliance.
Provide insurance companies with additional documentation or records (if requested) to expedite payments and resolve denials.
Accurately assigned ICD and CPT codes to patient medical records.
Provided administrative support to physicians and interpreted medical reports and data to assign ICD-10 codes; entered diagnosis codes and patient information into billing software.
Researched insurance policies/eligibility and educated medical staff.
Obtain authorization via the payer website or by phone and follow up regularly on pending cases.
Maintain individual payer files to include up-to-date requirements needed to successfully obtain authorizations.


Initiate appeals for denied authorizations.
Respond to clinic questions regarding payer medical policy guidelines

Reviewed patient charts and identified discrepancies in the medical documentation.
Interpreted medical terminology (especially related to diagnostic radiology) in order to translate it into the coding software.
Analyzed DRG assignments using ICD-10 codes.
Accurately assigned ICD and CPT codes to patient medical records.
Communicated with insurance companies regarding the updates in invoices.
Scanned paper patient charts into the system and ensured their accuracy.
Worked on patient record audits and documentation quality checks.
Followed state law requirements when performing coding procedures.
Prepared patient charts for registration to appointments.
Handled over 400 calls per month, maintaining 85% satisfaction rating.
Processed 15 claims per week to determine company liability.

. Taking order 
. Handling calls 
. Generated minimum of 10 numbers new leads each day
. Maintained all documentation related to CSR