Managed the entire revenue cycle of multiple behavioral health providers and occupational therapists including: eligibility and verification of in and out of network benefits, charge entry and review, electronic and paper claim submission, claims tracking and follow up, and patient account activities. Experienced in claim denial resolution and management reducing denials to below 5%.Ensure strict confidentiality of patient and financial records in accordance to The Health Insurance Portability and Accountability Act (HIPAA).Decreased billing cycle turnaround time by 40% by implementing automation into the process and streamlining workflow.Accurately code medical diagnoses per Centers for Medicare and Medicaid Services (CMS) requirements published in the official ICD-10 coding guidlines, and knowledge of prospective payment systems.

• Assessed and analyzed data for the public policy’s advocacy department. • Entered relevant data into an excel spreadsheet for the “Advocacy Recruitment” program.• Recruited the needed 10 team members for the Advocacy Congressional Team (ACT)

Migrated medical records into electronic medical records (EMR) accurately and effeciently. Prepared and processed medical information in the electronic medical record system Cerner by scanning batch scanning, scanning quality checks post scanning and research 30% faster than other team members.Maintained medical charts and electronic medical record including filing, Op reports, test results, and care forms. Monitored shared email inboxes, ensuring inquiry responses were addressed within 24 hours.Prepared patient charts accurately and neatly for clinic, improving data retrieval process by 97%.Effective management maintenance and protection of patient medical information utilizing an electronic medical records system. Clerical work to help support daily clinic operation goals and special projects improving productivity in the Health Information department.

Overall management of customer accounts including: Monitoring receivables and making daily collection calls and updating company records. Performing balancing functions, entering cash and making journal entries . Reviewing and improving credit and receivables processes as required . In conjunction with sales team, proactively working with customers to manage the account Process credit card payments and credits Handling and processing of mail

• Oversaw a variety of office and clerical tasks relating to claims processing• Maintained continuous communication with insurance companies regarding past-due claims

Handled and routed an average of 100 daily calls, immediately resolving 90% of patient inquires.Verified insurance coverage and benefits and screened patients to obtain necessary new or updated information in order to ensure accuracy for all insurance billing processes. Reconciled accounts; posted payments; adjusts balances to reflect denials, adjustments, shares-of-cost, payments, and other modifications to balances.Communicated issues to the management, including payer, system or escalated account issues.

• Handled and routed an average of 80 daily calls, immediately resolving 100% of customer inquiries• Developed a filing system that saved company valuable time in retrieving files