Billing and Records Specialist at Premier Injury Specialist (2023-01 – Present)
- Update spreadsheets accordingly to record new patient referrals
- Managed 200+ patient accounts by notifying attorneys of referrals, treatment, and current balances
- Collected on 1000+ past accounts, staying updating on cases from previous year/s
- Evaluated treatment plans to ensure adherence to medical necessity and cost containment goals (within case limits)
- Ensuring patients are receiving quality care with no gap in treatments
- Collaborated with legal teams to prepare medical summaries for settlement negotiations
- Processed bills and prepared records to send to law firms within one week of discharge
- Negotiated bills with attorneys post settlement
Case Manager at Advanced Marketing & Management (2023-01 – Present)
- Pain management, Neurology, and Orthopedic referral coordination across multiple medical facilities
- Communicate accordingly across companies to insure everyone is aware of all case updates
- Simultaneously record and keep track of new patient cases while collecting on accounts that are settling
- Oversaw the complete treatment course post PI claim (I.E. chiro>medical>pain management>ortho)
Patient Coordinator at Pulmonary and Sleep Medicine (2022-01 – 2023-12)
- Insurance Verification: Confirm ins. is in-network and active
- Post Payments to patient accounts
- Patient assistance with check-in procedures
- Chart Audits; HEDIS, MCR risk management, etc.
- EHR/EMR
- Collect copays, coinsurances, and patient balances.
Office Administrator/Medical Assistant at Atlanta Pain Clinic (2019-01 – 2022-12)
- Obtain insurance prior-authorizations for Visits and/or Procedures.
- Handle inventory; itemizing, ordering, and restocking
- Handle PCI compliance
- Pay invoices.
- Schedule new patients; verify insurance benefits.
- Assist in non-invasive outpatient procedures.
- EHR/EMR
- Tracked, managed, and collected on Personal Injury patients