Mindy Lundberg

• Managed patient accounts to ensure timely collections and accurate records.
• Communicated with patients regarding outstanding balances and payment options.
• Documented collection efforts and interactions in compliance with company protocols.
• Trained new team members on collection processes and customer service techniques to ensure consistent service quality.
• Collaborated with insurance companies to verify coverage and payment details.
• Remained calm, stayed professional, and provided exceptional service on calls, even when interacting with difficult individuals.
• Investigated disputed claims and made adjustments based on findings.
• Participated in regular meetings with internal staff to discuss strategies for improving collections efforts.
• Streamlined collections processes by analyzing rejection patterns and denials, leading to enhanced recovery strategies.
• Executed eligibility checks and claim status inquiries through online portals and direct communication with insurance representatives.

Billed hospital claims to insurance companies for Sr. and Commercial plans while managing inquiries on patient eligibility and claim status through phone calls and insurance portals. Sent corrected claims and drafted Provider Disputes for denied or underpaid accounts, ensuring timely follow-up and accurate documentation of all communications.

My last job title was Medicare Billing Specialist and I performed all the Medicare billing/follow-up for two hospitals.That included all aspects of Medicare billing using Epremis electronic billing system I had access to the Noridian Medicare portal that helped me with eligibility and DDE for claim for claim status. I also reviewed remits and adjusted accounts to the correct balance for either patient or secondary balances.

Responsible for answering insurance company phone calls regarding claim status, authorization issues, payment/denial information and contract interpretation. I adjusted claims, when necessary. I also reviewed provider disputes and appeals. The job required extensive knowledge of Medical Terminology, ICD-10 and CPT coding, and I worked well with managers and co- workers. I was also trained in Claims Processing.

Processed medical insurance claims for professional and facility services, ensuring claims accuracy and processing for payment or denial.

• Reviewed medical claims for accuracy and completeness.
• Collaborated with team members to improve workflow efficiency.
• Reviewed and processed medical claims for accuracy and completeness according to established guidelines.
• Delivered exceptional customer service to clients by communicating information and actively listening to concerns.

• Managed patient accounts to ensure timely collections and accurate records.
• Documented collection efforts and interactions in compliance with company protocols.
• Collaborated with insurance companies to verify coverage and payment details.
• Maintained knowledge of healthcare regulations to ensure compliance during collections.
• Maintained accurate records of all collection activities in the system database.
• Prepared monthly reports summarizing collections activity for management review.
• Managed customer accounts by obtaining payment information and updating records.
• Processed correspondence for assigned accounts and took appropriate action. Reviewed weekly denial reports and drafted appeals when necessary. Identified misapplied payments and requested payment adjustment transfers and refunds. Reviewed primary and secondary HCFA forms for accuracy.

Processed reimbursement claims for pharmaceutical products and services, ensuring timely resolution and adherence to guidelines.

• Coordinated with healthcare providers to verify patient eligibility and coverage, facilitating seamless claim processing.
• Billed and cleared high dollar pharmacy claims; contacted insurance companies for authorizations, obtaining eligibility and benefits.
• Managed documentation to ensure compliance with regulatory requirements and policies.

• Evaluated medical claims for accuracy and compliance with regulations.
• Reviewed documentation to assess claim validity and completeness, ensuring compliance with regulatory standards.
• Maintained detailed records of claims processing activities and correspondence.
• Analyzed provider contracts to verify reimbursement levels, optimizing provider relations and ensuring accurate payments.
• Verified insurance coverage and eligibility of patients for services rendered.
• Investigated discrepancies in claims data, reconciling errors and correcting inaccuracies to maintain data integrity.
• Ensured HIPAA compliance by maintaining strict confidentiality of patient information.