I have extensive experience with various insurance billing software, including Epic, Cerner, and Medisoft. My proficiency allows me to efficiently manage claims, track payments, and resolve billing discrepancies. I am adept at customizing reports to monitor financial performance and ensure compliance with insurance regulations.

When encountering discrepancies, I first review the claim details to identify the error. I then contact the insurance provider to clarify any issues and resubmit the corrected claim. Additionally, I maintain detailed records of all communications and adjustments to prevent future errors and ensure timely reimbursement.

To ensure timely payments, I prioritize claim submissions based on deadlines and follow up regularly with insurance companies. I also stay updated on insurance policies and changes that might affect billing. By maintaining clear communication and using automated follow-up tools, I minimize delays and maximize the efficiency of the billing process.

I regularly attend webinars, workshops, and training sessions offered by professional associations like AHIMA and AAPC. Additionally, I subscribe to industry newsletters and participate in online forums to stay informed about the latest changes in insurance regulations and coding practices. This proactive approach helps me maintain accuracy and compliance in billing.

One challenging situation involved a complex claim that was repeatedly denied due to incorrect coding. I meticulously reviewed the documentation, consulted with the healthcare provider to correct the coding, and negotiated with the insurance company. Through persistence and detailed communication, I successfully resolved the issue, resulting in a substantial payment for the provider.