Anastasya King Email & Phone Number

Atlanta, Ga, Us

Atlanta, Georgia, United States

Georgia, United States

Skilled benefit verification specialist, authorization and billing specialist who prepares paper and electronic claim forms and related documentation. Reviews insurance policies to determine eligibility and benefits. Drafts itemized statements, bills/invoices. Record amounts due for items purchased or services rendered and resolve discrepancies in billing records.-Averaging an above 90% claims collection rate and 100% completion rate on multiple monthly reports.-Conducts data… Show more Skilled benefit verification specialist, authorization and billing specialist who prepares paper and electronic claim forms and related documentation. Reviews insurance policies to determine eligibility and benefits. Drafts itemized statements, bills/invoices. Record amounts due for items purchased or services rendered and resolve discrepancies in billing records.-Averaging an above 90% claims collection rate and 100% completion rate on multiple monthly reports.-Conducts data analysis to detect duplicate billing, over-payments, and non-compliance with laws, policy regulations, and management policies.-Maintained over 55+ accounts per day documenting all work performed in company computer systems software.-Initiates outbound calls to insurance companies, guarantors, patients, doctor offices and/or facilities and handles incoming calls as necessary utilizing proper customer service protocol. -Auditing account payment factors and payor codes that reduced the error rate from 20% to less than 8%-Proficient in electronic and paper claim submission.-Assess accounts for balance accuracy, confirm correct payer billed, coding accuracy, denials, and outstanding insurance requests.-Ensures accurate and complete account follow-up by demonstrating a thorough understanding of carrier-specific reimbursement as applicable to claim processing to include: eligibility discrepancies, UB-04 and/or 1500 claims form review, DRG, per diem, case rate, fee schedule reimbursements, etc.-Ability to multitask in several applications and systems simultaneously and demonstrates competency with Microsoft Suite and assorted internet browsers required to maintain departmental productivity and quality standards and encourage team members to do so as -well.-Identifies and communicates A/R trends, payer behavior, workflow inconsistencies, or other barriers to account resolution to team and engagement leadership. Show less

Bachelor Of Arts, Fashion & Retail Management

continued to further my education in Fashion and Retail Management.

Fashion Merchandising

Studied Fashion and Retail Management.