Jodie Carr has extensive experience in the field of medical billing and coding. Jodie wishes to obtain a Medical Billing/Accounts Receivable position.
Skills:
Jodie has fair knowledge about HIPAA compliance regulations
Knowledge about COB, deductible/co-insurance co-pay, and out of pocket/lifetime maximums
Experience:
Patient Accounts Specialist
Preparing medical billing statements for third parties and patients
Follow up on claims for timely payment
Communication with various insurance companies to ensure proper payment
Resubmission and resolution of unpaid and denied claims
Post and reconcile payments to patient ledgers
Balance daily batches
Maintain strict confidentiality; adhere to all HIPAA compliance regulations
Medical Biller/Account Specialist
Generate monthly patient billing via paper and electronic submission
Posting payments, balancing receivables according to explanation of benefits
Follow-up of denials of unpaid third party and individual claims
Resolving issues relating to unpaid accounts
Resubmission of corrected claims for proper payment
Prior authorization and appeals ensuring payment
Compliance with HIPPA guidelines and maintain patient confidentiality
Claims Benefit Specialist
Accurate processing and completion of medical claims according to specific plans (PPO, HMO Managed Care, Medicare, MA Health, Commercial and Self funded.) to ensure providers and insured receive proper payment in a timely manner
Apply plan concepts to include: COB, deductible/co-insurance co-pay, out of pocket/lifetime maximums
Process to complete claims with eligibility discrepancies as well with coding discrepancies
Adhere to quality improvement initiatives
Full compliance with HIPPA and patient confidentiality regulations
