I have extensive experience with various medical billing software, including Epic, Cerner, and Athenahealth. I am proficient in navigating these systems to accurately code and submit claims, track patient payments, and resolve billing discrepancies. My experience ensures efficient processing and timely reimbursement, which is crucial for maintaining financial health in healthcare settings.

When faced with denials or rejected claims, I first review the denial code to understand the reason. I then collaborate with the insurance companies to gather necessary documentation or correct any errors in the billing process. I ensure to follow up diligently to resubmit corrected claims and track their status until resolution, minimizing revenue loss for the healthcare provider.

To ensure accuracy, I adhere to strict coding protocols and regularly update my knowledge on coding changes. I double-check all claims for correct patient information, procedure codes, and insurance details before submission. Additionally, I maintain open communication with healthcare providers to clarify any ambiguous information, ensuring claims are processed correctly and efficiently.

I stay updated by regularly attending webinars, workshops, and subscribing to industry publications and newsletters. I also participate in professional associations like the American Medical Billing Association (AMBA) to network with peers and gain insights into regulatory changes. This proactive approach helps me implement new regulations promptly and effectively in my billing practices.

One challenging situation involved a complex patient case with multiple insurance providers. I meticulously coordinated with all parties to ensure proper allocation of charges and timely payments. By maintaining detailed records and persistent communication, I successfully resolved the issue, resulting in full reimbursement and improved patient satisfaction.