Bj Bailey Email & Phone Number

Bellevue, Wa

Process referrals for new and existing mental health patients to authorize or deny visits according to their insurance coverage-Verify insurance coverage-Follow insurance stipulations to ensure complete coverage-Obtain insurance authorizations when required to ensure full payment is received. -Assisted patients to ensure they fully understand coverage and answer questions and gather additional information as needed-Complied with King County Mental Health Program rules and regulations to ensure patients meet requirements. -Assist 25+ physicians with administrative tasks and other duties as needed.

Assist the recruiters with a variety of duties involving candidates seeking employment as well as current temporary staff. -Source and reviewing resume-Prequalify applicants and schedule interviews -Process new hire paperwork and issue testing -Assist the branch manager with administrative tasks involving sales, accounting, recruiting and audits.- Perform general office duties as well.

Implemented new team to oversee all Medicare accounts-Trained all existing and new team members as needed-Acting Manager when supervisor was not present-Prepared medical claims to bill insurance companies-Collected documentation from physicians required by insurance-Received authorizations when needed by insurance-Managed weekly insurance aging; contacted to determine payment status-Follow insurance requirements to gain approval in order to release DME-Worked closely with major insurance companies to streamline procedures-Researched and corrected payment issues.

Read clinic notes and converted to ICD9 and CPT billable charges for 10+ Physical and Occupational Therapist-Reviewed chart documentation to verify all codes were correct and billed-Electronically billed medical claims-Input payments from explanation of benefits received and patient payments-Contact insurance companies for payment status-Process appeals for denied payments on medical claim-Review accounts for collections and handled Accounts Receivable aging -Fielded patient account calls

Captured physician service codes for services performed and input into patient billing system-Handled complex patient accounts for billing-Investigated and resolved billing and coding discrepancies-Worked closely with business office on implementing new procedures for coding services-Audited account and co-payment reports-Back-up for running of morning reports for department.

Education record

Cpc Certification, Medical Insurance Coding Specialist/Coder