Teodora Todorova

Teodora Todorova’s objective is to have a position in the administrative field where she can utilize her skills and gain knowledge. She has successfully executed positions such as Insurance Verification Specialist and Billing & Coding Specialist majorly in Behavioral Health.

SKILLS

• Medical/Legal/Insurance terminology
• Insurance claims processing
• Knowledge of insurance carrier policies
• Procedural diagnostic coding
• Knowledge of Medicare policies/regulations
• Billing and collection methods
• Knowledge of anatomy, physiology, treatment
• ICD-9/CPT coding
• Typing/Keyboarding, Internet proficiency
• Microsoft Office
• QuickBooks
• Availity
• Medisoft
• PsychConsult
• NPA Works

Languages:  Fluent in English and Bulgarian                        

EXPERIENCE:

• Responsible to obtain required documentation
• Contact benefit providers to gather policy benefits/limitations
• Update patient information with address/ benefit changes
• Ensure accounts requiring authorization are identified, secured, and updated
• Responsible for managing records and processing claims
• Responsible for preparing claim forms (electronic submission; paper submission with addition information) and handling billing
• Responsible for coding concentrated on Autism
• Responsible for communication with insurance companies (benefits verification; unpaid claims follow-up; arguing with insurance companies for delinquent or denied claims)
• Responsible for insurance collections and A/R
• Made payment plans for patients with outstanding balances (discussing upcoming outstanding balances with patients to make a payment plan and follow up on patients payment)
• Gained knowledge in different insurance companies such as; Blue Cross Blue Shield, Availity, Cigna, Magellan, Medicare, United Healthcare, United Behavioral Health, North shore Medical Group etc.

EDUCATION

• Everest College
• Diploma, Medical Insurance Billing and Coding