Billing Clerk/It Support/Quality Care Management
Generations Family Medicine Inc.
Reviewed, analyzed and monitored all statistical data related to accounts receivable. Kept up to date all billing and reimbursement regulations and standards to ensure compliance with any changes issued by governmental agencies and third-party payers. Initiated and participated projects and training sessions that enhanced departmental performance. Investigated and resolved complex billing issues with billing partners, Collection Department, and Clients. Posted payments received by clients, updated company ledger with up to date debits and credits and printed daily account records to Office Manager and Physicians. Developed bad debt/collections process for collecting on delinquent accounts resulting in record collections of patient cash. Provided various reports and perform special projects. Strong track record in organizing and prioritizing large workloads to meet deadlines. Ensure claims are entered and submitted with 48 hours of receipt. Post and reconcile insurance and patient payments. Research and resolve incorrect payments, EOB rejections, and other issues with outstanding accounts.Retrieve Electronic Remittance Advice (ERA's) as well as maintain passwords for insurance web pages. Follow up on Insurance and patient aging. Re-submit insurance claims as necessary. Knowledgeable in timely filing restrictions.Verified and worked all clearinghouse claim rejections. Customizing and cresting all EMR reports and letters. As well as updating all tables with in the EMR to keep software updated. Responsible for implementation and Training employees on Practice Partner EMR software as well as Meaningful use and government updates. Troubleshooting practice partner software program and working with the help desk to fix any issues with the EMR and updates. Participated in Practice Partner conference, I gave a presentation and was a guest speaker on Mail Merge with in the EMR system.