- Perform posting charges- Ensure patient's medical information is accurate and up-to-date- Assist in patient's inquiries with benefits, payments, and eligibility- Perform completion of claims to payers- Conduct duties in a professional and timely fashion- Submit billing data to appropriate insurance providers- Process claims and resolve denials to ensure maximum reimbursement- Follow up unpaid claims to appropriate parties/payers- Do Medicare and medical reviews- Review remits and payer correspondence and escalate any identified issues to appropriate areas for review and response to expedite claim resolution- Insurance verification, authorization and appeals- Analyze explanation of benefits and remits- Knowledge on EHR tools includes: Dr. Chrono, Office Ally and Prompt

Processing outpatient medical claims including overseas claimsSubject Matter Expert on all outpatient claims functions.Verified patient insurance coverage and benefits for medical claims.Researched and resolved complex medical claims issues to support timelyprocessing.Identified and resolved discrepancies between patient information andclaims data.Maintained strong knowledge of basic medical terminology to betterunderstand services and procedures.

Collaborated with management to provide training on improvedprocesses and assisted with creation and maintenance of quality training.Provided regular updates to team leadership on quality metrics bycommunicating consistency problems or production deficiencies.Developed and maintained quality assurance procedure documentation.Created and revised procedures, checklists and job aids to reduce errors.

Maintained knowledge of benefits claim processing, claims principles,medical terminology, and procedures and HIPAA regulations.Analyzed and processed health insurance claims including review andreprocessed of error claims.Paid or denied medical claims based upon established claims processingcriteria.Evaluated medical claims for accuracy and completeness andresearched missing data.

Assisted account officer on executing daily bank transactions such asphone interaction with clients, record keeping of insurance and appraisalreports, monitoring foreign exchangeProvided clerical support to company employees by copying, faxing, andfiling documents.