Killeen, Texas, United States
My job experience spans 30 + years covering light accounting to secretarial to assistant manager/supervisor over small medical offices of 4 - 11 employees to medical claims examiner / processor and medical claims insurance billing. I have worked in several retail settings such as a grocery store and department store where I gained valuable experience in how to deal directly with the public in all kinds of scenerios. My recent job experience involves receiving and setting up prior authorization requests for various lines of business of the Scott & White Health Plan. I also have experience working with the public and in a customer service capacity. Working with ICD 9, ICD 10, CPT coding, checking claims for accuracy, monitoring/auditing/posting to patient accounts, data entry, insurance/precertification/referral verifications, medical claims billing (electronic and paper), follow-up on outstanding and denied claims, training of new and current employees on the EHR software and office policy
Intake information and set up events for prior authorization requests and admission notifications for the various Scott & White Health Insurance policies. Answering phones and fielding questions from members and providers.
My position included reviewing ambulance transport tickets, verifying patient demographic and medical insurance information and verifying medical insurance. Contacting facilities for face sheets or to confirm information.
I currently review daily encounters for ICD 10, ICD 9 and CPT coding accuracy, prepare claims for billing to the insurance companies either electronically or on paper, perform follow-up on outstanding or denied claims, correcting and resubmitting claims when needed, monitor patient account activity. I have posted insurance and patient payments, performed data entry of patient visit and procedure charges as well as demographic and insurance information. I can verify insurance. I was responsible for completing the physician’s credentialing applications with various hospitals and insurance carriers as well as maintain his online credentialing information. Ordered office and janitorial supplies, answered phones, scheduled appointments, worked with customers/patients in a customer service capacity. Supervised front office personnel, covered front office duties when staff was not available, worked closely with the office manager and often covered many of her job duties when she was out of the office.
This company was a medical claims billing service but they also sold the billing service software. My duties consisted of answering phones, scheduling appointments, direct public and client contact, planning sales events and demonstrations of the software, data entry/insurance billing, filing, faxing, and many other general office duties. Left as this office was closing
Direct public and patient contact via phones or in person. Scheduled appointments, checked in and checked out patients, troubleshooting of problems, filing, transcription of progress notes and various correspondence using a Dictaphone, performed insurance verification and precertification for Medicare, Medicaid and various group and individual insurance plans, performed data entry and checked for accuracy of ICD 9 and CPT coding for claims, batched claims for billing to insurance companies (either electronically or on paper). I used a pegboard accounting system until the office was computerized. I handled insurance claim follow-up and resubmitting when needed. I also ran the daily payment reports, month end reports and monthly statements