• Medical Billing and Collections for government, private and commercial insurance.• Responsible for Revenue cycle ensuring billing needs of practice are met, processing and posting patient payment.• Pre-auth, pre-cert/ verification of benefits. Inform patients of their explanation of benefits and estimated responsibility. • Maintain and correct claim errors, billing edits and nuances preventing bill from properly going out to payers. • Processing/ tracking of submissions, remittances, and rejections. Follow up on aging claims, and outstanding balances. • Provide financial assistance options for patients and family members with outstanding balances such as CareCredit. • Manage and coordinate office staff to maximize patient satisfaction and assisted with other administrative functions that support the practice’s operation.

• Answered and screened multi-line phone, directing to appropriate parties including non-emergency dispatch line. • Performed basic and routine clerical support activities involving reception, documenting receipt and distribution, provision of office information, and data entry. • Received and reviewed for completion of variety of documents and applications.• Answered questions about sheriff office inquiries such as inmates, status of a legal claim, bail, and referrals. • Assisted in translating Crime Scene Investigation unit and Crimes Against Children unit

• Verified insurance coverage to ascertain deductible and coinsurance amounts and notified patients of expected financial responsibility. • Increased revenue by obtaining Pre-Authorization for all outpatient Medical Imaging in a timely manner. • Provided instructions regarding time of arrival, place of service, and documents necessary for office visits. • Obtained authorizations for CAT scans and obtained documents for patients. • Coded medical information so authorization would be approved.

• Registration of patients personal and insurance information. • Obtained necessary notes relevant to the medical visit including x-rays and other results. • Entered benefits and precertification/ authorization into EMR system. • Researched and identified any processing inaccuracies in claim payments and routed to appropriate team for any necessary claim adjustments. • Maintained durable medical equipment inventory levels.

• Verified member’s eligibility, including effective date with Peach State Health Plan and with Medicaid. • Provided detailed information regarding member’s benefits and coverage and changed member’s PCP as requested. • Documented all activities for quality and metrics reporting through the Customer Relationship Management application. • Printed out member ID cards for shipment to patients.

• Answered telephone calls and explained procedure guidelines and polices. • Assisted prospective and current customers in selecting appropriate doctors and locations. • Coordinated with clinical departments on schedule modifications

• Verified workman’s compensation insurance, completed C4’s, and attached medical reports with UB04. • Worked at central registration and assisted individuals. • Ensured accuracy of payments and verified they corresponded with dates of service billed. • Provided financial counseling to patients as necessary.

• Performed back room medical record clerking functions. • Pulled charts for staff and filed documents. • Accountable for sending information as requested to other facilities. • Collected medical release forms