Review, correct, and submit claims for timely processingEnsure that validated claims are accurate before submissionIdentify accounts with missing/invalid HCPCS, Revenue Codes and ChargesRefer Accounts to appropriate department for correctionsWork on failed claims and NEIC reportsIdentify, print and submit paper claims to non-electronic carriersEscalate any identified problems that may affect cash flow to the billing directorMaintain department specific productivity standardsPerform and execute ad-hoc project assignmentsReview and verify invoices and check requestsCreate requisitions and purchase orders to accurately pay vendors in a timely mannerUpdate change orders  for verified changes in goods and services to ensure accurate  paymentResearch and resolve invoice discrepancies and issuesCorrespond with vendors and respond to inquiries

Act as Liaison with Cardiac Cath DepartmentPerformed data analysis for Cardiac Cath AccountsIdentified accounts with missing or duplicate charges and referred back to department for correctionsConducted daily audits on accounts prior to billing for complianceReconciliation of daily Cath Lab Census against accounts codedReviewed and correct Cath Charge Description Master (CDM) for Compliancy Identified Cardiac Cath billing interface glitchAssisted with ICD-10 implementationAssisted department staff by performing project related dutiesMaintained Insurance Tables, SIM/FIM, and Charge MasterUpdated Daily ReportsAdjusted chargesReviewed Hospital managed care contracts to determine expected reimbursement Analyzed hospital claims data to identify trends with contractual under payments and billing errorsEffectuated various means of collections including phone, fax, and online methods Escalated reimbursement trends/delays such as billing, denials, pricing errors, and payments Reviewed EOBs/EOPs to determine cause of claim denials and submit appeals/reconsiderations accordingly Liaised with hospital clients to obtain necessary information or data to peruse underpaymentsCompleted and submitted necessary insurance forms required to process claims in a timely mannerReferred unpaid accounts to collection agencies for final resolution Prepared payment plans, Processed refunds, Post cash, and Denials Managed administrative support services Verified coverage for both Government and Commercial carriersBilled claims and followed up on outstanding accounts

Interviewed, admitted, and discharged patientsDocumented patient information and maintained confidentialityProvided exceptional customer care both internally and externally for timely problem resolutionAdhered to HIPAA compliance regulationsObtained and accurately update patients’ informationScheduled appointments for follow up visits and special proceduresOrganized, updated and maintained patient chartsPerformed inventory and maintained office supply counts,supplied requisition Trained new hires, scheduled and delegated workloadCompleted order forms for lab and proceduresCompleted and submitted required forms to CDCPerformed administrative support servicesAssisted patients with completing hospital forms