Revenue Recovery Specialists I at Knowtion Health (2023-07 – Present)
- Contact patient/Insurance to obtain information needed
- Update patient demographic, verify insurance
- Submit Appeals, upload medical records by portal
- Note all accounts worked
- Answer incoming calls
- Analyze information to identify root cause of denied or unpaid claim
Medical Billing Specialist at ENT Specialists (2015-11 – 2022-04)
- Ensure appropriate timely filing guidelines are met for maximum reimbursement
- Identify and discuss root cause issues with management
- Identify trends to report to Supervisor
- Monitor and collect payments from third party payers and patients
- Submit Insurance claims Electronically and manually
- Work denials of claims
- Researched denied claims and corrected errors for rebilling
- Post Insurance and patient payments
- Managed the denial process for insurance claims to ensure accurate resubmission
- Answered telephone calls from patients, staff, and insurance carriers to address inquiries and provide assistance
- Worked remotely to manage tasks effectively
- Reviewed and addressed insurance denial cases to expedite resolution and minimize revenue loss
- Identified discrepancies in payments and adjustments to ensure accurate financial records
- Investigated and resolved credit balances to maintain accurate account status
- Post various Insurance payments electronically and manually
- Processed online credit card payments to facilitate timely transactions
- Managed processing of credit card payments to maintain financial accuracy
- Entered new insurance coverage information into the system for accurate records
- Recorded self-payments in the accounting system to ensure accurate financial tracking
- Assisted with remote check deposits by preparing and submitting transactions
Medical Revenue/ Credit Rep at Harvard Vanguard Medical Associates (1999-11 – 2015-07)
- Reviewed and addressed insurance denial cases to expedite resolution and minimize revenue loss
- Identified discrepancies in payments and adjustments to ensure accurate financial records
- Investigated and resolved credit balances to maintain accurate account status
- Post various Insurance payments electronically and manually
- Processed online credit card payments to facilitate timely transactions
- Managed processing of credit card payments to maintain financial accuracy
- Entered new insurance coverage information into the system for accurate records
- Recorded self-payments in the accounting system to ensure accurate financial tracking
- Assisted with remote check deposits by preparing and submitting transactions
Revenue Control Specialist at MGH Physician Organization (1997-04 – 1999-11)
- Posted insurance and self-pay payments to ensure accurate account balancing
- Balanced lockbox transactions daily
- Post Specialty accounts payments
- Reconcile all unidentified accounts
- Communicate effectively with third parties to resolve outstanding medical claims
- Communicated with third parties to resolve outstanding medical claims, enhancing claims approval rates
- Coordinated refunds for self and insurance payments, streamlining reimbursement processes
