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 payments, and resolve billing discrepancies. My experience has equipped me with the skills to efficiently manage billing processes and ensure compliance with insurance regulations.

When faced with denials or rejected claims, I first review the reason for the denial to understand the issue. I then follow the appropriate protocol to resubmit the claim, which may involve correcting coding errors, providing additional documentation, or appealing the decision. My approach ensures minimal revenue loss and maintains a high rate of claim acceptance.

To ensure accuracy, I adhere to strict coding protocols and regularly update my knowledge of medical coding changes. I double-check all claims for errors before submission and utilize audit tools within the billing software to identify and correct potential issues. Additionally, I maintain open communication with healthcare providers to clarify any ambiguous information.

During busy periods, I prioritize tasks based on urgency and impact on revenue flow. I start with addressing any denied claims or urgent billing issues, then move on to processing new claims. I also leverage automation tools within the billing software to streamline repetitive tasks, ensuring efficiency and timely processing of all billing activities.

One challenging situation involved a series of complex claims that were repeatedly denied due to incorrect coding. I worked closely with the healthcare provider to review the medical records, corrected the coding errors, and successfully resubmitted the claims. This not only resolved the immediate issue but also improved our future billing accuracy and efficiency.