Alyssa Vuskalns Email & Phone Number

Perris, California, United States

Perris, California, United States

Submitting prior authorization requests to multiple payers through various portals or by phone contact and correspondence. Verification of benefits coverage per medical policies. Submitting clinical notes for medical review requested by the payer in a timely manner. Follow up on any pended authorizations and referring denied cases for peer to peer reviews.Daily communication with Medicare, Blue Cross, and numerous other commercial insurers to address claim resolution and… Show more Submitting prior authorization requests to multiple payers through various portals or by phone contact and correspondence. Verification of benefits coverage per medical policies. Submitting clinical notes for medical review requested by the payer in a timely manner. Follow up on any pended authorizations and referring denied cases for peer to peer reviews.Daily communication with Medicare, Blue Cross, and numerous other commercial insurers to address claim resolution and rejectionsKnowledge of insurance guidelines, including HMO/PPO, Medicare, and state MedicaidFollowed up with insurance companies, directly and/or through correspondence, regarding any discrepancies in payment and on claims that were left unpaid within standard billing cycle timeframesInterpreted insurance EOBs and appealed any denied claims/servicesVerified insurance eligibility and benefits, and billed secondary and tertiary insurances Show less

Redlands, California, United States

Daily communication with Medicare, Blue Cross, and numerous other commercial insurers to address claim resolution and rejectionsKnowledge of insurance guidelines, including HMO/PPO, Medicare, and state MedicaidFollowed up with insurance companies, directly and/or through correspondence, regarding any discrepancies in payment and on claims that were left unpaid within standard billing cycle timeframesInterpreted insurance EOBs and appealed any denied claims/servicesVerified… Show more Daily communication with Medicare, Blue Cross, and numerous other commercial insurers to address claim resolution and rejectionsKnowledge of insurance guidelines, including HMO/PPO, Medicare, and state MedicaidFollowed up with insurance companies, directly and/or through correspondence, regarding any discrepancies in payment and on claims that were left unpaid within standard billing cycle timeframesInterpreted insurance EOBs and appealed any denied claims/servicesVerified insurance eligibility and benefits, and billed secondary and tertiary insurances Show less

Moreno Valley, California, United States

Provided administrative support to physicians and interpreted data to assign ICD-10-CM and CPT codesReviewed and validated accuracy of charges including dates of service, services provided, location and provider signatureRecorded information including patient information into company databasesProven ability to work with uninsured and self-paying patients to develop reasonable payment plansContacted various ordering physicians to obtain the patient’s medical records

Moreno Valley, California, United States

Performed all aspects of a medical biller including correct coding for ICD-10-CM, CPT and HCPCS codesEnsured all claims were submitted in a timely mannerUpdated patient profile information to ensure claims were billed correctlyInteracted with patients to collect and verify insurance information and maintained up-to-date recordsCreated patient bills and invoices, including itemized amounts due for services

Mibc Cerificate, Medical Insurance Specialist/Medical Biller And Coder

Medical Financial Procedures Secretarial Insurance I/II/III Communications & Computers Clinical Externship

High School Diploma, General Studies