Handle all Medicare, United Healthcare, Blue Cross billing and collections. Resolve claim issues. Handle billing, collections, denials and appeals from commercial PPO insurances.

March 2021 to July 2022Ensure accurate billing. Timely submission of electronic and/or paper claims. Monitor claim status, researching rejections and denials, post adjustments. Oversee staff of 10. Help create and implement a strategy to improve the collection of outstanding credits.

Handle all specialty medication authorization such as IVIG and Cytoxan. Handle all authorization appeals. contact clients about overdue bills and accounts. Collect payment on the overdue, offer lower interest payments, payment assistance or create individually tailored payment plans unique to a person's financial situation in order to facilitate payment. Negotiate with insurance companies for proper payments . Open and maintain new referral accounts. Act as the first contact between providers and our company. Market throughout southern California. Research new doctors and medications to attract business.

Prioritize collection activity to avoid write-off exposure.Reviewing EOB’s, denials and rejected claims.Managing appeals and follow up with Private Carriers, Medicare and Medicaid.Conducting claims analysis and review to address patterns of underpayments and/or denials for insurance companies.Coding Research.Responsible for providing error trending, identification, and actions taken to Billing Lead.Responsible for finding solutions, working assigned claims, identifying and documenting problematic issues that prevented the successful and timely transmission of accurate and clean claims by a third party billing support partner.Maintain clear and cohesive notes/documentations/forms related to all open and pending claims being worked.Responds to patient billing inquiries.Communicate with physicians and other medical staffProvide excellent customer service to our patients and customersResponsible for reviewing accounts and making appropriate refunds to insurance carriers.