I have over three years of experience in medical insurance billing and collections. My role involved managing patient accounts, ensuring timely submission of claims, and following up on unpaid or denied claims. I am proficient in using billing software like Epic and Cerner, and I have a strong understanding of insurance regulations and coding systems such as ICD-10 and CPT.

When dealing with difficult or overdue accounts, I first review the account history to understand the reasons behind the delay. I then communicate with the patient or insurance company, providing clear explanations and necessary documentation. I negotiate payment plans or settlements when appropriate, always aiming to resolve the issue while maintaining a professional and empathetic approach.

To improve collection rates, I focus on proactive communication and timely follow-ups. I ensure all claims are submitted accurately and within deadlines to minimize denials. Additionally, I analyze payment trends and adjust strategies accordingly, such as offering early payment incentives or implementing stricter follow-up protocols for high-risk accounts.

I stay updated with changes in insurance policies and regulations by regularly attending webinars, workshops, and industry conferences. I also subscribe to relevant publications and join professional groups on social media to ensure I am informed about the latest updates and best practices in the field of medical insurance collections.

One challenging issue was a denied claim due to incorrect coding. I worked closely with the billing department to correct the coding and resubmitted the claim. I also contacted the insurance company to explain the correction and negotiate the claim's approval. After several follow-ups, the claim was finally paid, demonstrating my persistence and problem-solving skills.