Initiated ERA (electronic remittance advice) set up with clearinghouse and/or third-party portals.Initiated EFT (electronic funds transfer) set up with payers third-party portals.Assist in vendor support of daily cash reconciliation duties.RCM Payment Posting Processing (ERA/Manual Posting) of Line-Item Payments/Denials.Reconciling offset/recoupment payer remits.Call carriers and third parties to resolve unidentified payments/reconcile items.Assist the Reimbursement Supervisor with various projects.Proficiently identified and resolved discrepancies in financial records to ensure data accuracy.Utilized financial systems and accounting software to maintain accurate financial records.Collaborated with billing and financial teams to streamline financial processes and optimize revenue management.Conducted regular audits and reviews to safeguard financial data integrity and compliance.

Conducted comprehensive reviews of patient health records, abstracting medical, surgical, ancillary,demographic, and administrative data.Assisted facility staff in documenting patient care accurately and provided technical support on codingrequirements and compliance.Collaborated directly with professional staff for clarification on clinical data, ensuring precise codeassignment.Utilized facility computer systems and software applications for accurate coding, abstracting, and datatransmission.Assigned accurate codes for outpatient and inpatient professional services, ensuring compliance with coding guidelines.Conducted comprehensive reviews of patient health records, abstracting medical, surgical, ancillary, demographic, and administrative data.Collaborated with professional staff to clarify clinical data, ensuring precise code assignment.Resolve edits by adding appropriate modifiers when required or takes other appropriate action.Analyzed complex Explanation of Benefits forms to ensure accurate billing of insurance carriers andmaintain payment accuracy.Review and correct payer coding edits during the claim edit review process.Assisted in documenting patient care accurately and provided technical support on coding requirements and compliance.Successfully communicated with insurance providers to resolve denied claims, leading to increased revenue recovery.Identified accounts with past due balances and collaborated with the collection agency for appropriateaction.Managed the entire reconsideration and appeals process, utilizing strong analytical skills to challengeclaim denials.Prepared refunds for insurance companies and patients, maintaining transparency in financialtransactions.

Submitted insurance claims to multiple companies via clearinghouses.Conducted comprehensive reviews of patient health records, abstracting medical, surgical, ancillary,demographic, and administrative data.Assisted facility staff in documenting patient care accurately and provided technical support on codingrequirements and compliance.Collaborated directly with professional staff for clarification on clinical data, ensuring precise codeassignment.Utilized facility computer systems and software applications for accurate coding, abstracting, and datatransmission.Assigned accurate codes for outpatient and inpatient professional services, ensuring compliance with coding guidelines.Conducted comprehensive reviews of patient health records, abstracting medical, surgical, ancillary, demographic, and administrative data.Collaborated with professional staff to clarify clinical data, ensuring precise code assignment.Utilized ICD, CPT, and HCPCS coding systems to accurately code a wide range of medical services.Analyzed complex Explanation of Benefits forms to ensure accurate billing of insurance carriers andmaintain payment accuracy.Assisted in documenting patient care accurately and provided technical support on coding requirements and compliance.Successfully communicated with insurance providers to resolve denied claims, leading to increased revenue recovery.Identified accounts with past due balances and collaborated with the collection agency for appropriateaction.Managed the entire reconsideration and appeals process, utilizing strong analytical skills to challengeclaim denials.Prepared refunds for insurance companies and patients, maintaining transparency in financialtransactions.

Communicated with healthcare providers to obtain necessary information for claim resolution and to educate on best practices for claims management.Worked closely with the billing team to streamline workflows and optimize revenue recovery.Maintained compliance with industry regulations and ethical claims follow-up practices.Conducted in-depth research and analysis of denied claims to identify and address recurring issues.Communicated with insurance providers, healthcare providers, and patients to resolve outstanding claims and provide status updates.Collaborated with the billing team to implement process improvements and streamline claims management workflows.Collaborated with healthcare providers to obtain necessary documentation and information to support appeals.Review and correct payer coding edits during the claim edit review process.Resolve edits by adding appropriate modifiers when required or takes other appropriate action.Prepared and submitted well-documented appeals to insurance providers, successfully overturning denials.Managed the ERA posting process for healthcare payments, ensuring accurate and timely posting.Proficiently utilized healthcare billing software and financial systems to post ERAs accurately.Analyzed and reconciled healthcare payments to identify discrepancies and resolve issues promptly.Managed the medical refund process, ensuring timely and accurate processing and reconciliation.Proficiently utilized healthcare billing software and financial systems to analyze payments and identify overpayments.Initiated and processed refund requests, maintaining meticulous records for audit purposes.Conducted regular audits and reviews to ensure data accuracy and integrity.

Managed patient registration processes, ensuring accurate and efficient registration for a wide range of healthcare services.Proficiently verified patient insurance, obtained necessary authorizations, and explained financial responsibilities to patients.Utilized Electronic Health Records (EHR) systems and registration software to maintain patient records and data integrity.Conducted comprehensive reviews of patient health records, abstracting medical, surgical, ancillary,demographic, and administrative data.Collaborated directly with professional staff for clarification on clinical data, ensuring precise codeassignment.Utilized facility computer systems and software applications for accurate coding, abstracting, and datatransmission.Assigned accurate codes for outpatient and inpatient professional services, ensuring compliance with coding guidelines.Review and correct payer coding edits during the claim edit review process.Resolve edits by adding appropriate modifiers when required or takes other appropriate action.Conducted comprehensive reviews of patient health records, abstracting medical, surgical, ancillary, demographic, and administrative data.Collaborated with professional staff to clarify clinical data, ensuring precise code assignment.Analyzed complex Explanation of Benefits forms to ensure accurate billing of insurance carriers andmaintain payment accuracy.Assisted in documenting patient care accurately and provided technical support on coding requirements and compliance.Successfully communicated with insurance providers to resolve denied claims, leading to increased revenue recovery.Identified accounts with past due balances and collaborated with the collection agency for appropriateaction.Managed the entire reconsideration and appeals process, utilizing strong analytical skills to challengeclaim denials.Prepared refunds for insurance companies and patients, maintaining transparency in financialtransactions.