Description :

1. Processed payments from EOBs for various insurance carriers, ensuring accurate posting.
2. Corrected patient demographic and insurance data entry errors to maintain clean claims.
3. Generated financial reports to assess the impact of payment rule changes on receivables.
4. Followed up with insurance companies and patients to expedite payment on outstanding receivables.
5. Presented on ABN forms at annual meetings, enhancing staff understanding of compliance.
6. Updated beneficiary notice forms to align with current Medicare guidelines.
7. Created a Medicare LCD diagnosis sheet for use by billing and technical staff.

Experience

0-2 Years

Level

Entry Level

Education

AAS-B

Description :

1. Processed primary and secondary insurance claims accurately and promptly, utilizing electronic billing systems and ensuring compliance with all billing forms.
2. Maintained knowledge of federal and state billing regulations, ensuring all authorizations are completed and following up on missing requirements.
3. Conducted thorough audits of billing statements to identify and rectify errors, ensuring accurate documentation of adjustments.
4. Secured and maintained medical documentation to support claims and appeals, ensuring compliance with regulatory standards.
5. Resolved claim errors efficiently by analyzing error reports and implementing corrective actions.
6. Documented all billing activities meticulously, including bill dates and notes, to maintain accurate records.
7. Balanced billing systems daily, ensuring all claims were submitted correctly and timely.

Experience

5-7 Years

Level

Executive

Education

AAS

Description :

1. Managed monthly journal entries and reconciled accounts to ensure accurate financial reporting.
2. Reviewed daily balancing and closing reports, ensuring compliance with internal controls.
3. Analyzed accounts for coding accuracy and resolved discrepancies promptly.
4. Acted as a liaison for accounts payable, handling patient billing and insurance inquiries.
5. Demonstrated exceptional multitasking skills while managing high-volume phone inquiries.
6. Coordinated with insurance companies to follow up on claims, ensuring timely payments.
7. Monitored accounts receivable reports to maintain cash flow and timely filing of claims.

Experience

5-7 Years

Level

Executive

Education

B.S. Accounting

Description :

1. Managed billing processes, ensuring timely invoicing and follow-up on unpaid claims to enhance cash flow.
2. Entered and reconciled financial data in the accounting system, maintaining accuracy and compliance.
3. Generated and tracked invoices, monitoring collection progress to meet departmental goals.
4. Created quarterly and annual financial reports to assess billing performance and identify trends.
5. Streamlined data entry processes, improving efficiency in record-keeping and reporting.
6. Communicated with clients to resolve billing inquiries and outstanding payments, fostering positive relationships.
7. Collaborated with cross-functional teams to address billing discrepancies and enhance service delivery.

Experience

10+ Years

Level

Consultant

Education

BSA

Description :

1. Managed billing department functions, including medical billing, charge entry, and payment posting to enhance invoicing accuracy.
2. Responded to inquiries regarding CPT and diagnosis codes, ensuring clarity and compliance.
3. Verified diagnosis codes on patient encounter forms, reconciling codes with services rendered.
4. Accurately input procedure and diagnosis codes into billing software, generating timely invoices.
5. Utilized electronic charge capture practices to submit codes and invoices promptly, improving cash flow.
6. Followed up on past-due invoices and delinquent accounts, reducing unpaid balances by 25%.
7. Conducted routine audits of patient data and medical records to comply with insurance requirements.

Experience

5-7 Years

Level

Executive

Education

AAS-Billing

Description :

1. Posted payments from patients and payors, ensuring accurate month-end processes and reporting.
2. Negotiated non-par agreements and collaborated with collection agencies on overdue accounts.
3. Managed aged accounts for Medicare and Anthem Blue Cross, supporting the team with other commercial accounts.
4. Executed electronic fund transfers for Medicare, Anthem, Aetna, and Medicaid, ensuring timely processing.
5. Collaborated with billing supervisors to verify claims for prompt payment and accuracy.
6. Maintained monthly performance goals based on charge percentages and historical data.
7. Educated patients on their insurance policies to enhance understanding and resolve unpaid claims.

Experience

10+ Years

Level

Consultant

Education

AAS-MB

Description :

1. Provided comprehensive billing support for client companies, ensuring accurate invoicing and timely payments.
2. Established and maintained strong relationships with Medicare partners and commercial insurance carriers to facilitate smooth billing processes.
3. Collaborated with skilled nursing facilities to resolve denied charges, improving overall claim acceptance rates.
4. Effectively addressed payment gaps and billing disputes, advising clients on optimal solutions for outstanding balances.
5. Decreased cash posting backlogs by 40% through efficient processing of refunds and account adjustments.
6. Reduced denials for skilled nursing facility charges by over 65% through targeted appeals and documentation.
7. Enhanced the accuracy of billing processes by communicating effectively with utilities and clients regarding charge discrepancies.

Experience

5-7 Years

Level

Executive

Education

B.S. in BA

Description :

1. Managed patient billing inquiries, providing clear explanations of charges and payment responsibilities.
2. Assisted patients in understanding their bills, including copayments, deductibles, and insurance coverage.
3. Collected and verified insurance information to ensure accurate claim submissions.
4. Confirmed patient eligibility and service dates for accurate billing and claims processing.
5. Generated patient statements and appealed unpaid claims with insurance providers.
6. Handled funded accounts, ensuring timely payments from pharmaceutical companies.
7. Utilized Microsoft Office and billing software to maintain accurate records and reports.

Experience

2-5 Years

Level

Junior

Education

AAS-Billing

Description :

1. Generated and analyzed commercial, Medicaid, and workers' compensation insurance reports bi-monthly.
2. Coordinated with insurance companies to verify medical claims status and ensure prompt reimbursements.
3. Negotiated with insurers and third-party administrators to maximize claim reimbursements.
4. Reviewed explanations of benefits, corrected claims, and resubmitted for processing.
5. Prepared and submitted appeal letters for denied claims, advocating for higher reimbursements.
6. Followed up with insurers to confirm receipt of appeal letters and check their status.
7. Posted insurance and patient payments, managing outstanding balances efficiently.

Experience

7-10 Years

Level

Senior

Education

AAS

Description :

1. Managed comprehensive billing operations, ensuring accurate coding for HCPCS and ICD-10 codes, and timely submission of claims.
2. Trained new staff on billing software and claim submission processes, enhancing team efficiency.
3. Submitted clean DME claims to Medicare, both electronically and via paper, ensuring compliance with regulations.
4. Conducted follow-ups with Medicare and insurance companies to resolve payment issues and denials.
5. Executed collection actions, including patient outreach and payment information updates, to improve cash flow.
6. Maintained accurate patient profiles to ensure correct billing and compliance with HIPAA regulations.
7. Performed audits on billing and reimbursement processes, ensuring accuracy in accounts payable and receivable.

Experience

5-7 Years

Level

Executive

Education

AAS-B

Description :

1. Generated and managed detailed invoices, ensuring timely collection and tracking of payments.
2. Input financial data into accounting systems for accurate verification and reconciliation.
3. Created quarterly and annual financial statements to assess fiscal health.
4. Improved daily data entry processes to enhance record-keeping accuracy and efficiency.
5. Addressed all customer and vendor inquiries promptly to maintain strong relationships.
6. Processed payments accurately, ensuring timely disbursement to employees and vendors.
7. Conducted regular audits of billing processes to identify areas for improvement.

Experience

2-5 Years

Level

Junior

Education

B.S. in BA

Description :

1. Validated and processed network carrier billings to ensure accuracy and compliance.
2. Maintained comprehensive databases for payment tracking and dispute resolution.
3. Collaborated with cross-functional teams to uphold network integrity and service quality.
4. Coordinated efforts among in-house vendors and external contractors to streamline operations.
5. Led initiatives to enhance verification of active circuits, identifying and rectifying dead circuits.
6. Secured credits for identified dead circuits, contributing to cost savings.
7. Reviewed pricing structures to ensure adherence to contractual agreements.

Experience

7-10 Years

Level

Consultant

Education

B.S. in BA

Description :

1. Ensured the accuracy and completeness of billing documents, leading to a 30% reduction in discrepancies.
2. Processed and reviewed third-party and individual claims, achieving a 95% acceptance rate on first submission.
3. Managed electronic billing operations, addressing edits and rejections promptly to maintain cash flow.
4. Generated secondary insurance bills to recover unpaid balances, optimizing revenue recovery.
5. Conducted regular reviews of accounts receivable, reducing aged accounts by 40%.
6. Responded to complex billing inquiries from patients, healthcare providers, and insurers, enhancing customer satisfaction.
7. Collaborated with internal teams to streamline billing processes, resulting in improved operational efficiency.

Experience

10+ Years

Level

Senior

Education

B.S. in B.A.

Description :

1. Oversee the billing process to ensure adherence to service level agreements and key performance indicators.
2. Coordinate project schedules and budgets to guarantee timely delivery of services and compliance with client specifications.
3. Act as the primary liaison for client inquiries, billing reports, and resource assignments to enhance service delivery.
4. Develop and maintain strong client relationships, participating in performance reviews to ensure satisfaction.
5. Conduct training for new hires, focusing on billing processes and professional development.
6. Analyze data to identify billing issues, implementing effective solutions to enhance accuracy and efficiency.
7. Generate and distribute invoices, ensuring compliance with contractual obligations and client requirements.

Experience

10+ Years

Level

Senior

Education

B.S. Accounting

Description :

1. Managed billing operations for multiple medical practices, reducing accounts over 90 days by 35%.
2. Reviewed Aged Trial Balance Reports to swiftly resolve unpaid claims, enhancing cash flow.
3. Consistently met a productivity target of processing 200 claims weekly.
4. Conducted quality assurance by proofreading invoices and monitoring output for accuracy.
5. Analyzed client metrics to identify trends, facilitating strategic adjustments for improved performance.
6. Collaborated with IT on billing system upgrades, ensuring seamless integration and departmental efficiency.
7. Maintained compliance with Sarbanes-Oxley controls through regular data reconciliation.

Experience

5-7 Years

Level

Executive

Education

BS Accounting

Description :

1. Managed invoicing processes using AirTrak, ensuring timely and accurate billing for all shipments.
2. Generated shipping reports to track loads needing billing, contributing to overall revenue management.
3. Coordinated with various stations nationwide to collect carrier paperwork for invoicing.
4. Utilized Great Plains accounting software to compile daily revenue reports, tracking performance metrics.
5. Processed over 100 invoices daily, generating revenues exceeding $20,000.
6. Communicated effectively with clients to resolve billing inquiries and discrepancies.
7. Maintained meticulous records to ensure compliance with billing regulations and company policies.

Experience

2-5 Years

Level

Executive

Education

B.S. in BA

Description :

1. Corrected billing errors daily, ensuring accuracy in invoicing.
2. Identified problem areas in order entry and implemented effective solutions.
3. Communicated effectively with clients and team members in both verbal and written formats.
4. Utilized customer service skills to enhance client interactions and resolve issues.
5. Consistently met departmental quality and attendance standards.
6. Coordinated with drivers to ensure required paperwork was attached to invoices.
7. Served as a backup Driver Advocate, supporting team needs during absences.

Experience

2-5 Years

Level

Executive

Education

B.S. in BA

Description :

1. Applied commercial insurance payments to outstanding patient accounts, ensuring accuracy and compliance.
2. Verified service billing accuracy according to payer regulations prior to posting payments.
3. Performed debit/credit adjustments and payment application corrections as necessary.
4. Monitored report completion to maintain a quality goal exceeding 96%.
5. Digitally scanned EOBs and correspondence into patient accounts for comprehensive record-keeping.
6. Managed accounts payable and receivable for commercial accounts, ensuring timely processing.
7. Addressed inquiries from central billing teams and field offices, fostering effective communication.

Experience

7-10 Years

Level

Management

Education

B.S. in Business

Description :

1. Executed accurate and timely third-party electronic and manual billing in compliance with regulations.
2. Processed vendor payments and managed accounts receivable to maintain cash flow.
3. Conducted collection efforts for delinquent accounts, improving recovery rates.
4. Utilized QuickBooks Enterprise Software for comprehensive account reconciliations.
5. Generated invoices for new and existing commercial clients, ensuring accuracy.
6. Provided exceptional customer service to address commercial client inquiries.
7. Collaborated across departments to ensure seamless billing operations.

Experience

2-5 Years

Level

Executive

Education

B.S. Accounting

Description :

1. Developed and implemented efficient billing procedures, improving accuracy and reducing errors.
2. Provided exceptional customer service by addressing inquiries and resolving billing issues promptly.
3. Processed and verified payment requests from customers through various channels.
4. Ensured all billing deadlines were consistently met, contributing to timely revenue recognition.
5. Managed the collection process for overdue accounts, improving cash flow.
6. Maintained comprehensive documentation of billing policies and procedures.
7. Collaborated with cross-functional teams to enhance the overall billing process.

Experience

2-5 Years

Level

Executive

Education

B.S. in BA