Willing to work in challenging environment where enhancing
ability and skills in a professional position to get the targets of
Organization.
• Submits claims to insurance companies either electronically or by paper. • Following up on unpaid claims within standard billing cycle time frame. • Prepares billing statements for patients. • Review and verify eligibility and benefits. • Researching and appealing denied claims. • Negotiating with third party for maximum reimbursement. • Contacting with insurance companies to resolve denial issues. • Answering all patient or insurance telephone inquiries.
• Entered charges accurately to computerized system. • Posted and adjusted payments from insurance companies. • Entered patient demographic and insurance information into software. • Corrected and resubmitted claims rejected or denied by insurance. • Verified patient documents, eligibility and benefits. • Worked on referrals and Pre-authorizations as required for procedures.
• Provide information about products and services. • Manage large amount of outbound calls. • Resolve customer complaints in a timely manner. • Providing training to the employees. • Maintained a polite and professional telephone manner.