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Revenue Cycle Analyst with experience working claim denials, medical coding, team Leadership, patient registration. payment posting, and charge entry.
Certified Medical Coder, Practice Management Institute
Certified Healthcare Access Specialist, NAHAM
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Reviewed denied claims resubmit for reimbursement.
Accurately entered procedure codes, diagnosis codes and patient information into billing software.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
Completed appeals and filed and submitted claims.
Applied payments, adjustments and denials into medical manager system.
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Contacted insurance companies to resolve issues with denied claims.
Entered corrections in system to resubmit claims for reimbursement.
Completed appeals and filed and submitted claim
Submitted refund requests for claims paid in error
Supervised approximately 10-15 employees in the ER/Admitting Department.
Acquired insurance authorizations for procedures and tests ordered by the attending physician.
Arranged and assisted with hospital admissions.
Scheduled patient appointments.
Completed registration quickly and cordially for all new patients.
Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.
Thoroughly reviewed remittance codes from EOBS/AR's.
Confirmed patient information, collected copays and verified insurance.
Posted charges, payments and adjustments.
Applied payments, adjustments and denials into medical manager system.
Efficiently performed insurance verification and pre-certification and pre-authorization functions.
Coursework in Marketing.
Coursework in Nursing.
Coursework in Marketing.