Highly experienced professional with over 14 years of experience in the medical field with a strong background in Medical insurance, authorizations, patient services, and customer service. Consistently demonstrated the ability to effectively communicate with patients and families, handle difficult situations with grace and professionalism, and work collaboratively with healthcare teams to provide the highest quality of care. Highly skilled in managing insurance-related tasks, including verifying coverage and obtaining prior authorizations, and have a thorough understanding of various insurance plans and policies. Taking pride to deliver exceptional customer service and am dedicated to ensuring that patients have a positive experience at every stage of their healthcare journey.
• Executed billing tasks and recorded information in company databases
• Monitored outstanding invoices and performed collections duties
• Proficient in the use of the Success EHS practice management software system, including learning and applying new functionality as needed
• Developed knowledge of payer billing requirements (Medi-Cal, Medicare, Patient Eligible Payment Programs, and Commercial Insurances) as it applies to the data collected on encounters
• Conduct pre verifications for eligibility of benefits for patients where insurance will be used by the patient as their form of payment
• Review billing encounter information for the correct application of insurance or eligible patient payment program
• Manage daily reporting requirements (Batch Journal, CINCO, Deposits, and others as needed)
• Coordinate with clinic management for the timely completion of encounter corrections
• Assist in processing claims as needed
• Monitor utilized equipment and computer connectivity and report issues to the Site Manager.