I have over three years of experience in medical billing and insurance claims, working with various insurance providers. My responsibilities included verifying patient insurance coverage, submitting claims, and following up on unpaid claims. I am proficient in using billing software like Epic and Medisoft, and I have a strong understanding of CPT and ICD-10 coding. My experience has equipped me with the skills to handle complex billing issues and ensure timely reimbursement for healthcare services.

When dealing with denied or rejected claims, I first review the denial reason provided by the insurance company. I then verify the accuracy of the submitted information, including patient details, coding, and documentation. If errors are found, I correct them and resubmit the claim. If the denial is due to policy issues, I contact the insurance company to clarify and appeal the decision. My goal is to resolve issues promptly to ensure the healthcare provider receives payment.

To manage a high volume of claims efficiently, I prioritize tasks based on urgency and complexity. I use organizational tools and billing software to track the status of each claim and set reminders for follow-ups. I also maintain clear communication with the billing team and healthcare providers to address any issues quickly. By staying organized and proactive, I ensure that all claims are processed accurately and in a timely manner.

I stay updated with changes in insurance policies and regulations by regularly attending webinars, workshops, and training sessions offered by professional organizations. I also subscribe to industry newsletters and follow updates from major insurance providers. Additionally, I participate in online forums and discussions with other billing professionals to share knowledge and stay informed about the latest developments in the field.

To ensure accurate and timely submission of claims, I double-check all patient and insurance information before submission. I use billing software to automate routine tasks and reduce errors. I also maintain a detailed checklist for each claim to ensure all required documentation is included. Regular audits and reviews of submitted claims help me identify and correct any discrepancies, ensuring a high rate of successful reimbursements.