Finance Accounting Specialist/Medical Biller
Current• Lead Medicaid Govt. Billing team of 5 with Claim submission, follow up/denials for Govt. contract plans (Medicaid, Medicare) along with Liability and LME health plans. • Posting of payments/adjustments of claims, calculating deductibles. • Reviewing Eob/Remit for accuracy of payments, calculating observations hours, Inpatient part b billing, itemized billing. • Collaborating with departments within revenue cycle, IT, and Fin-thrive to identify trends in claim denials and develop strategies to minimize denials and increase reimbursements. • Identifying opportunities to improve the accuracy of billing data by implementing quality control measures and conducting regular reviews of billing processes and documentation within guidelines. • Contacting insurance payors for review of EOBs, claim denials , insurance verification, authorizations. , payments and denial information regarding claim status. • Creating SOP’s for new team members for clean claim submission preventing denials and a decrease in weekly unbilled snapshots