Revenue Recovery Specialists I - Knowtion Health - Remote
(2023-07)
- 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
- Ensure appropriate timely filing guidelines are met for maximum reimbursement
- Identify and discuss root cause issues with management
- Identify trends to report to Supervisor
Medical Billing Specialist - ENT Specialists - Norwood, MA
(2015-11 - 2022-04)
- Submit Insurance claims Electronically and manually
- Monitor and collect payments from third party payers and patients
- Research denied claims and make corrections for rebilling
- Counsel patients on delinquent accounts
- Process refunds
- Post Insurance and patient payments
- Work denials of claims
- Process the lockbox
- Answer telephone calls from patients, staff and from Insurance carriers
MEDICAL REVENUE/ CREDIT REP - Harvard Vanguard Medical Associates - Needham, MA
(1999-11 - 2015-07)
- Post various Insurance payments electronically and manually
- Identifies discrepancies as they relate to the payments/adjustments
- Investigates and resolves credit balances
- Back up for remote deposit of checks
- Post online credit card payments
- Process credit cards payments
- Add Insurance coverage
- Post Self payment
- Work Insurance Denials
REVENUE CONTROL SPECIALIST - MGH Physician Organization
(1997-04 - 1999-11)
- Post Insurance and self pay payments
- Balance Lockbox daily
- Post Specialty accounts payments
- Answer incoming calls from patients
- Reconcile all unidentified accounts
- Communicate effectively with third parties to resolve outstanding medical claims
- Refund Coordinator for Self and Insurance refunds
