Managed all billing practices. Maintain quality control, patient data entry and insurance carrier information in addition to tracking EDI responses. 

• Verify electronic payments and ensure correct postings. 
• Ensure timely and accurate claim submissions.
• Utilized hospital portal, operative notes, demographics and insurance information for surgery patients.
• Correctly identified billing errors and refile denied/rejected claims.
• Post payments and adjustments accordingly.
• Oversaw practice A/R to minimize the number of unpaid claims and patient account balances.
• Handle patient inquiries regarding billing and insurance.
• Support the front office and surgery coordinator when needed.
• Preformed insurance verification's, authorizations and pre-certifications as needed. 
• Credentialing 
• Support the physician, provide employee training, maintain current policies and procedures, handle insurance carrier re-validations and generate financial reports.

Led a staff of six team members, engaging in cross-training and the implementation of administrative policies and procedures.

• Implemented a new EMR system and supervised employee training. 
• Delivered administrative support for two physicians.
• Monitored time cards and personal time off. 
• Served as an experienced surgery coordinator, scheduling in-patient and out-patient surgeries and procedures.
• Completed insurance verifications, authorizations and pre-certifications.
• Ensured timely and accurate claim submissions.
• Posted payments and adjustments accordingly.
• Correctly identified errors and re-filed denied/rejected claims.
• Managed the practices A/R and completed required reports.

• Initiated billing of emergency medical services (ambulance).
• Hardcopy and electronic claim submissions to all payers groups Including Medicare, Medicaid, Blue Cross Blue Shield and other commercial carriers.
• Followed up status on billed claims to all insurance carriers and with patients for insurance information.
• Posted cash and adjustments / allowances for Medicare, Medicaid, Blue Cross Blue Shield and other commercial insurances direct payments and personal checks.
• Explanation of Benefits and payment voucher interpretation with full disposition of posted accounts.
• Prepare refund packages.
• Supervised team of five or more in their daily duties.
• Assisted in special projects when needed.
• Provided understanding to insurance carries regarding any relevant inquires related to claim adjudication.
• Responsible for printing and mailing of claims.

• Handled inbound calls from patients, attorneys and insurance carriers.
• Verified Patient demographic for accurate billing.
• Verified Insurance information for accurate billing.
• Assisted patients and attorneys with coordination of benefits and payment plans.
• Ensured that all paper work containing PHI and sensitive patient financial data was filed away in locked cabinets.