Workers' Compensation Specialist
Current• Experienced in billing for Durable Medical Equipment, Orthotics, and Prosthetics• Developed thorough knowledge of third-party payment applications, requirements, and regulatory guidelines at the federal, state, and local levels• Collaborated with medical providers and office management to determine billing and documentation policies and ensure compliance• Supported consumers and stakeholders with online billing and account issues• Reconciled daily batch posting to actual entry to identify and reconcile any discrepancies, ensuring that payment posting functions are accurate and performed on a timely basis• Oversaw daily Billing Department functions, including medical coding, charge entry, payment posting, and reimbursement management• Recommended new approaches, policies, and procedures to influence continuous improvements in department’s efficiency and services performed • Prepared SQL Reports to review pending authorizations timely, retrieve missing documents to bill, and ensured all payments are posted correctly to each transaction• Verified patient eligibility and obtained prior authorizations for outpatient procedures• Filed and stored all payments received from medical insurance and patients • Maintained strict confidentiality in accordance with HIPAA regulations and Company policy, including divulging any patient private health information (PHI) o Core Skill Set: Data Entry, Assessment, HIPAA Compliance