Nichole Ring Email & Phone Number

Coding, Electronic claims submission, claims editing, insurance eligibility/verification/enrollment, Explanation of Payment/Benefit posting & review, Accounts receivable management, Appeals, Insurance request completion, High call capacity, and patient advocate.Waystar/Availity/Next Gen/Epic/Centricity/One Health Port/Link/Noridian/Codify & Super Coder

16300 Christensen Rd, Suite 203, Tukwila, Wa 98188

Primary Responsibilities:Ensures quality customer service for internal and external customersIdentifies and assesses customers'​ needs quickly and accuratelySolves problems systematically, using sound business judgmentPartners with other billing and eligibility department representatives to resolve complex customer service inquiriesApplies appropriate communication techniques when responding to customers, particularly in stressful situationsInforms and educates patients and insurance representatives regarding billing/invoicing set up and billing/payment proceduresPlaces outgoing phone calls to complete follow-up on customer service requests as necessaryAccurately offers and completes customer requests for payment plansEstablishes and demonstrates competency in eligibility, billing and receivable systems and associated applicationsMaintains timely, accurate documentation for all appropriate transactionsConsistently meets established productivity, schedule adherence, and quality standardsClearly communicates claims status, payment methodology, contract terms, procedures, etc. to customerIdentifies trends in errors or inquiries and reports these to appropriate personnelInforms and assists callers with the claims appeals process, if necessary.Develops a tracking system to ensure that all priority issues are handled and proactively notifies customers of anticipated results.Performs research on complex claim inquiries and expertly reprocesses claims.Serves as a resource to medical group staff, network providers, health plan representatives and hospital staff.Presents a pleasant voice to all callers, regardless of the stressful nature of the situations.

400 International Way, Suite 100, Springfield, Or 97477

• Accurately, effectively, and in a timely manner researched, verified, and updated patient insurance information. Audited continued coverage. • Scheduled patients for surgery, procedures, imaging, laboratory, and follow up appointments.• Proactively managed patient insurance benefits and treatment plans with minimal assistance from clinicians.• Managed email, text message, direct correspondence for patient and business accounts.• Expeditiously solved the caller's questions and concerns. Recorded and transferred messages to a provider/staff as needed. • Proactively maintained the high cleanliness standards of the medical clinic. • Professionally provides patients with information such as procedure preparation, Clinic address, directions to the Clinic location, website and other related information.• Properly maintained and routed updated publications.• Coordinated and assisted in accurate scanning of documents into e-file system.• Effectively assisted with other related clerical duties such as photocopying, faxing, filing, scanning and collating.• Effectively maintained patient privacy and confidential record standards per HIPAA.• Selected to assist with extra curricular assignments as needed.• Effectively communicate to executive staff, providers and other team members.

Main Job Tasks and ResponsibilitiesRegister patients according to established protocolsAssist patients to complete all necessary forms and documentation including medical insuranceEnsure patient information is accurate including billing informationInform patients of medical office procedures and policyMaintain and manage patient recordsmove patients through appointments as scheduledAnswer incoming calls and deal with inquiriestransfer calls as requiredSchedule patient appointmentsCollect co-pays and paymentsReport statistics as requiredSchedule hospital admissions, tests, scans and outside appointments for patientsObtain external medical reports as required by medical professionalsRespond and comply to requests for informationDeal with incoming and outgoing postComplete other clerical duties as assignedMaintain stock of forms and office suppliesensure reception area is well maintained, neat and cleanSafeguard patient privacy and confidentiality

Medical Billing & Credentialing.

Certified Revenue Cycle Specialist

Licentiate Degree, Medical Insurance Coding Specialist/Coder

Diploma