Billing Specialist - Milan Eye Center - Suwanee, Ga
(2015-03 - 2018-08)
- Follow up on claims for Medicare, Medicaid, and all other major and minor insurance companies
- Handle phone calls from patients and insurance companies
- Handle all worker's compensation claims
- Post charges, procedures, and payments
- Appeal denied or low reimbursement claims
- Handle correspondence and mail from insurance companies and patients
Patient Account Representative - North Chattahoochee Family Physicians - Johns Creek, Ga
(2002-02 - 2014-08)
- Work directly with the insurance company, healthcare provider, and patient to get a claim processed and paid
- Resolve patient issues in a high volume call office and resolve any billing issues efficiently and thoroughly
- Verify patients' insurance coverage, answering patients' billing questions, handling collections on unpaid accounts
- Collect, post and manage patient account payments
- Check patients out after office visit
- Balance monies at the end of the business day
Claims Coordinator - Tenet Physicians Services - Alpharetta, Ga
(1999-04 - 2001-11)
- Followed up on unpaid claims resulting in effective resolution of claims when possible
- Handled information about patient treatment, diagnosis, and related procedures to ensure proper coding
- Identified and resolved coding errors resulting in faster claim payment
- Followed up to see if a claim is accepted or denied and investigated rejected claims to see why denial was issued
- Accurately and efficiently analyzed EOB's and posted payments properly
Claims Processor - Emory Clinic North - Duluth, Ga
(1998-12 - 1999-03)
- Analyzed and processed outstanding claims
- Checked patients in and out for outpatient services
- Collected monies on services provided and balanced monies at the end of day
Patient Coordinator - Dr. Thomas J. DeMarco - Smyrna, Ga
(1997-10 - 1998-12)
- Completed patient registration, insurance verification and Pre-Certification
- Filed claims and completed follow up to claims
- Collected, posted, and managed patient account payments
Patient Account Representative - Emory Adventist Hospital - Smyrna, Ga
(1989-10 - 1997-09)
- Filed insurance claims and completed follow-up
- Contacted insurance carriers regarding non-payment and/or improper payment of claims
- Posted accurate payment of EOBs as well as patient payments
- Negotiated financial arrangements
- Trained new personnel
- Registered and admitted patients for hospital services
- Verified and pre-certified surgical procedures and admissions
- Collected for services and outstanding accounts
Patient Account Representative - Southwest Hospital - Atlanta, Ga
(1989-10 - 1991-08)
- Registered emergency room patients
- Processed patient admissions and outpatients
- Completed discharge coding and correctly entered charges
