Constance Scott Email & Phone Number

Remote

Worked to find discrepancies in billing, fix such errors. Run ad-hoc reports to identify coding/denial trends, and research and find solutions for those errors. Submit coding errors to the coding department for resolution. Contact patients and update any insurance or patient demographic information. Many calls with different insurance companies trying to resolve claims, used many different insurance portals. Invoice billing and claims. Weekly team meetings to discuss what trends we found. Software used, Imagine

San Mateo County, California, United States

Examine and follow up on all insurance accounts receivable in a timely manner. Analyze edits, rejections, and denials for errors, rectify and submit amended claims, and file appeal as needed. Review denied claims and identified trends behind these denials. Maintain detailed records of each claim to track trends. Determine status of demographic information by researching medical records and financial records; collect data from insured or designated individuals as necessary to send clean claims to patients and third-party payers. Partner with clients in California, Washington, and Utah. • Collaborated with teams to finish projects on schedule.• Communicated with insurance companies by phone or email as needed to ensure that claims were paid correctly.

Twinsburg, Ohio, United States

Cleveland, Ohio, United States

Created documents in accordance with payer guidelines and submitted them to appropriate persons (Appeals). Performed routine compliance audits to ensure adherence to Ohio and federal reporting standards. Maintained up-to-date knowledge of applicable state and Federal laws and regulations. Provided subject-matter advice on people management practices, compensation policies, and employment laws to improve internal structures. Discovered denial trends and worked with coders to fix billing. Maintained knowledge of current policies and procedures regarding reimbursements. • Enhanced billing department efficiency, reduced delinquency, and boosted accuracy by creating and implementing system and process changes.• Earned excellent track record in A/R recovery with claims paid totaling millions of dollars.

Education record

No Degree, Health/Health Care Administration/Management