Key Accomplishments • Consistently exceeded productivity metrics above 100%• Successfully transitioned to new EPIC medical record system and trained others to use it• Processed an average of 230 credit accounts/week with credit amounts up to $60,000 • Maintained Quality Review score of 3.0 for more than 4 years• Verify insurance policies and coordination of benefits and initiate correct contractual adjustments • Work reports with credit balances, refund requests, bad debt reports, and request corrected bills for inpatient/outpatient claims. Refund patient and insurance credits by check or credit card • Write denial letters to dispute refund requests if applicable and report denial and recoupment trends to management • Called insurances to discuss claims not paid according to contract and appeal when necessary for underpayment

• Processed billing insurance claims with compliant ICD9, ICD10 and HCPC codes and determined qualifying diagnosis and procedure codes per claim • Reviewed outstanding balances and determined correct method for collection and request medical documentation needed for precertification• Managed front end rejections and redetermination claim denials on daily basis and initiated queries to physicians for documentation or clarification to justify servicesKey Accomplishments • Promoted from Intake/Receptionist to Billing/Collections Coordinator• Trained new employees in billing, appeals and collections department • Tracked opportunities for documentation, reimbursement, coding and A/R improvement

•Answer incoming calls from referrals and patients regarding medical equipment assistance.•Enter patient data in Brightree and request medical documentation needed for precertification•Determine qualifying diagnosis and procedure codes on each case basis•Helped walkin customers with CPAP, Oxygen, and mobility prescription orders.* Follow insurance contract requirements and restrictions guidelines.

•Verified inventory computations by comparing them to physical counts of stock, and investigate discrepancies or adjust errors•Examined and inspected stock items for wear or defects, reporting any damage to supervisors.•Assisted in organizing sales orders and entering data in SAP computer application•Operated machinery and heavy equipment, such as forklifts