In my previous role, I was responsible for accurately coding medical procedures and diagnoses using ICD-10 and CPT codes, ensuring compliance with healthcare regulations. I also handled billing processes, submitted claims to insurance companies, and followed up on unpaid claims. My attention to detail and understanding of medical terminology allowed me to minimize errors and maximize reimbursements for the healthcare facility.

When a claim is denied, I first review the denial reason from the insurance company. Then, I verify the accuracy of the submitted information, including patient details, codes, and charges. If corrections are needed, I resubmit the claim promptly. For more complex denials, I may contact the insurance company directly to clarify the issue or gather additional documentation from the healthcare provider to support the claim. My goal is to resolve denials efficiently to ensure timely payment.

I prioritize tasks based on urgency and importance, focusing first on claims approaching their filing deadlines. I use organizational tools like spreadsheets or billing software to track claims statuses and deadlines. Effective communication with team members also helps in managing workload, as we can redistribute tasks if someone is overwhelmed. Staying organized and maintaining a clear focus on deadlines ensures that all claims are processed in a timely manner.

I stay updated on the latest healthcare regulations and insurance policies by attending workshops and reviewing updates from reliable sources like CMS. In my daily work, I double-check that all claims comply with current coding standards and insurance requirements before submission. I also participate in regular training sessions provided by my employer to ensure my knowledge is current. Compliance is critical to avoid penalties and ensure smooth operations in the billing department.

Patient confidentiality is paramount in medical accounts receivable to protect sensitive health information as required by HIPAA. I ensure confidentiality by accessing only the information necessary for my tasks and using secure systems to process and store data. I also follow strict protocols when communicating with patients or insurance companies, verifying identities before sharing any information. Maintaining confidentiality builds trust with patients and safeguards the healthcare facility from legal issues.