Revenue Cycle Manager - Behavioral Health Practice in California - California
(2024-05)
- Checking benefits and eligibility of the patient by calling insurance companies to make sure that the insurance will cover the services rendered.
- Checking denials of the claims submitted to the insurance companies
- Submitting claims electronically via EHR or insurance portals; or submitting manually via paper claims
- Calling insurance companies to have the claims sent back for review for incorrectly processed claims
- Submitting appeals if necessary
- Transferring the balance to the patient's responsibility if the claims were processed and paid towards the deductible or the claims were denied due to termed insurance coverage.
Revenue Cycle Specialist - Tactical Back Office - Acelleron Medical Products (DME Provider)
(2024-02 - 2024-04)
- Checked benefits and eligibility of the patients by calling insurance companies to make sure that insurance will cover the services rendered
- Submitted claims electronically via insurance portal for the claims to be processed
- Checked general claims status of the submitted claims if there's a need to make some changes or corrections based on the denial reason
- Checked and resolved claims denial by calling the insurance companies for the claims to progress
- Submitted / Filed an appeal for the denied claims to get paid
- Corrected CPT codes and its modifiers
- Dropped the balance to the patient's responsibility if the primary and/or secondary insurance were not going to cover the procedure
Insurance Verifier / Revenue Cycle Specialist - Tactical Back Office - The Compression Store (DME Provider)
(2022-07 - 2024-02)
- Checked benefits and eligibility of the patients by calling insurance companies to make sure that the insurance will cover the services rendered
- Submitted claims electronically using both EMR and insurance portal
- Checked general claim status of the submitted claims and if there's a need to make some changes or corrections based on the denial reason
- Checked and resolved claims denial by calling the insurance companies for the claims to progress
Patient Coordinator - Omega Healthcare (ATI Physical Therapy and Ascend Medical)
(2020-07 - 2022-07)
- Scheduled/canceled/amended the patient's appointment to fulfill their requests
- Checked the insurance cards and photos that the patients submitted in order to see if they will be covered for services rendered
Different technical roles not related to healthcare - Various Companies
(2010-07 - 2020-06)
