- Process insurance payments from multiple insurance payors: Auto, commercial, HMO, Government, Medicare and Medicare Advantage plans, as well as Workers’ compensation plans.- Retrieval of claims and remittance advices- Applying adjustments based on contracted rates- Transferring any remaining balances to secondary payors- Process any refunds due to insurance or patients

- Responsible for verifying medical, auto, and Worker’s Compensation insurances for home care and hospice services.- Obtaining accurate benefit information, ICD-10 coding, and proper billing sequences.- Requesting and obtaining required authorizations and pre-certifications.- Communicate with referral sources, hospital Liaisons, and Internal employees via email, instant messaging, and telephone.- Proficient with insurance websites, automated phone systems, and fax back verification.

- Responsible for creating the billing order, registration, patient chart, and electronic scheduling of appointments- Accesses, understands, and explains necessary information from the billing and medical records system including claims inquiry, account history, and account status for both hospital and physician billing.- Investigates and responds to all phone calls, fax, electronic, and written inquiries from patients/guarantors, insurance companies, and physician offices regarding medical account billing. - Requests payment in full and processes payments using on-lines systems, and cash reconciliation.- Works with appropriate departments to resolve questions and/or issues related to billing, coding and denials.- Responsible for the training new representatives that involves assisting them handling unusual or complex inquiries, including phone calls, billing orders, and general customer service technique that may have implications for the retention of a group/contract, or provider.

- Proactively adhered to company and department procedures and policies.- Substantial knowledge of using tools and resources available to efficiently solve problems and answering questions as they relate to directives for child support, hearing dates, judgments, and enforcement requests.- Effectively provided accurate solutions to a wide range of customer problems and inquiries with minimal supervision- Exercised emotional intelligence in terms of empathetically understanding and predicting customer behavior and handling them accordingly.

- Charged with answering customer inquiries and technical support for Wayne Dalton Garage Doors in a friendly manner, - Served as Ford Motor Company’s project coordinator, making calls to prospective customers to promote acquisition and interest of new products and services the Company offered.- Responsible for making calls to customers to schedule appointments for installation of new ADT alarm systems. - Able to remain calm, maintain pleasant voice tone and use appropriate professional language especially dealing with impatient/short-tempered and problematic customers/clients.