Coder - DERM DOX DERMATOLOGY
(2024-01)
- Review coding for all claims prior to sending to carriers
- Correct denials and invalid/rejected claims
- Review provider documentation to ensure compliance with pay-specific requirements
- Work with providers and team to resolve any coding discrepancies
- Knowledge of appeal process
- Knowledge of provider portals
- Cash postings
- Assisted patients with billing issues
- Payment posting
Insurance Specialist/AR Specialist/Biller - ACCLARA/TEGRIA
(2021-01 - 2024-12)
- Assisted insurance companies with reviews/payables
- Researched denials, trends, and short pay from carriers
- Knowledge of handling appeals
- Billed delivery tickets through transmission of claims
- Corrected claims for payments
- Responsible for Home Infusion AR
Insurance Specialist II - GUTHRIE CLINIC
(2011-01 - 2021-12)
- Identified and evaluated denials for assigned payors
- Exported data, prepared spreadsheets to address trends, projects and worklist
- Analyzed complex bill problems, prepared appeals and challenged payor policies
- Reviewed adjustments from specialists
- Assisted management in training and developing internal rejection protocols
- Assisted with audits on accounts
- Assisted training other staff members as needed
Patient Service Specialist - GUTHRIE CLINIC
(2011-01 - 2021-12)
- Scheduled appointments and procedures
- Coordinated patient arrivals
- Responsible for pre certifications on all tests
- Answered phones, filed paperwork, and all other administrative duties
