I have over three years of experience in insurance billing and collections, where I was responsible for processing claims, following up on unpaid claims, and resolving billing discrepancies. My role required a deep understanding of various insurance plans and the ability to communicate effectively with insurance companies and patients to ensure timely payments. I am proficient in using billing software and have a strong track record of reducing outstanding accounts receivable.

When a claim is denied, I first review the denial reason carefully to understand the issue. Then, I gather all necessary documentation and resubmit the claim if it's a simple error. For more complex denials, I may need to contact the insurance company for clarification or file an appeal. My goal is always to resolve denials efficiently to minimize delays in payment and maintain a positive relationship with both the insurance company and the patient.

In my previous role, I noticed that many claims were being denied due to incomplete information. I initiated a training session for the billing team to ensure all claims were submitted correctly the first time. Additionally, I implemented a tracking system for denied claims to monitor patterns and address recurring issues. These changes resulted in a 20% reduction in denied claims and significantly improved our collections rate within three months.

I stay informed about changes in insurance policies and billing codes by subscribing to industry newsletters, attending webinars, and participating in professional development courses. I also regularly review updates from Medicare and private insurers to ensure compliance. This proactive approach allows me to adapt quickly to changes and minimize errors in the billing process, ensuring that claims are processed smoothly and efficiently.

When communicating with patients about billing questions, I prioritize clarity and empathy. I explain the billing process in simple terms and provide detailed breakdowns of charges. If a patient is unable to pay, I discuss payment plans or financial assistance options. My approach is to be patient and understanding, ensuring that patients feel supported and informed about their financial responsibilities, which helps in maintaining positive patient relationships and improving collections.