In my previous role, I encountered a situation where a patient's insurance denied a significant portion of their claim due to a coding error. I quickly identified the issue, corrected the coding, and resubmitted the claim. I also communicated with the patient to explain the situation and provided them with the necessary documentation to appeal the insurance decision. This proactive approach not only resolved the issue but also maintained the patient's trust in our services.

I ensure accuracy by following a multi-step verification process. This includes double-checking all patient information, verifying insurance coverage, and cross-referencing codes with the latest billing guidelines. Additionally, I utilize automated systems to flag any discrepancies and conduct regular audits to identify and correct any potential errors. This meticulous approach helps in minimizing billing errors and ensuring timely and accurate payments.

I handle patient inquiries by first listening carefully to their concerns and then providing clear, concise explanations. I review their billing statements and insurance coverage details to ensure my responses are accurate. If additional information is needed, I follow up promptly. My goal is to make the patient feel heard and confident that their financial matters are being handled with care and transparency.

I have extensive experience working with a variety of insurance plans, including PPOs, HMOs, and government-sponsored programs like Medicare and Medicaid. I am proficient in navigating different billing systems, such as EPIC and Cerner, and have a strong understanding of their functionalities. My experience allows me to efficiently process claims and resolve any discrepancies that may arise with different insurance providers.

I stay updated by regularly attending industry webinars, reading relevant publications, and participating in professional development courses. I also subscribe to newsletters from regulatory bodies and professional associations. Additionally, I engage in peer discussions and network with colleagues to share insights and best practices. This continuous learning ensures that I am well-informed about the latest changes and can apply them effectively in my work.