Behavioral Health Biller - Gentle Heart Recovery
(2025-01 - 2026-01)
- Prepared, reviewed, and submitted accurate insurance claims to ensure timely processing and reimbursement.
- Managed appeals for denied insurance claims, securing successful reimbursements and minimizing revenue loss.
- Resolved billing discrepancies and followed up on outstanding claims to expedite insurance payments.
- Monitored patient account balances and initiated collection efforts to improve account recovery.
- Processed weekly insurance claim submissions, posted payments, and performed bank reconciliations.
- Verified Medicaid eligibility monthly for active patients to maintain accurate billing and uninterrupted coverage.
Revenue Cycle Coordinator - Maximum RHS
(2024-01 - 2025-01)
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Delivered timely and accurate charge submissions.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Reviewed outstanding balances owed by patients; initiated collection actions if necessary resulting in improved account recovery efforts.
HMO Primary Biller-SNF - Comprehensive A/R Solutions
(2021-01 - 2024-01)
- Making outbound calls for eligibility and authorization verification
- Billing Primary and Secondary claims (HMO, MLTC and VA)
- Addressing claim denials and rejections
- Submitted necessary documents for claim reconsiderations to insurance
- Posting copay/coins and sequestration adjustments
Customer Service Representative - Teleperformance-Healthcare Account
(2019-01 - 2020-01)
- Answering inbound calls for providers and members regarding benefits, eligibility, claims and authorization inquiry
Subject Matter Expert - Teleperformance-Healthcare Account
(2020-01 - 2021-01)
- Providing account expertise
- Assisting agents and attending escalated calls
