I have over three years of experience in insurance claims processing and follow-up, where I handled tasks such as verifying patient eligibility, submitting claims, and resolving denials. I am proficient in using billing software like Epic and have a strong understanding of CPT and ICD-10 coding. My role required me to communicate effectively with insurance companies and healthcare providers to ensure timely payments and resolve discrepancies. This experience has honed my attention to detail and ability to manage multiple claims simultaneously while maintaining accuracy and compliance with regulations.

I prioritize my workload by assessing the urgency of each claim, such as those nearing deadlines or requiring immediate resolution. I use organizational tools like spreadsheets and task management software to track progress and deadlines. Additionally, I categorize claims based on complexity and insurance provider requirements. By setting daily goals and maintaining clear communication with team members, I ensure that all tasks are completed efficiently without compromising accuracy or compliance.

In a previous role, I encountered a denied claim due to incorrect coding. I reviewed the claim, identified the error, and collaborated with the coding team to correct it. I then resubmitted the claim with supporting documentation and followed up with the insurance company to expedite processing. Within two weeks, the claim was approved and paid. This experience reinforced the importance of thorough review, effective communication, and persistence in resolving claim issues.

I stay updated by attending webinars, subscribing to industry newsletters, and participating in professional development courses. I also regularly review updates from CMS and other regulatory bodies. Additionally, I network with peers in the industry to share insights and best practices. This proactive approach ensures that I remain compliant with current regulations and can effectively apply them to my work.

I maintain accuracy by double-checking all data entries, verifying patient and insurance information, and cross-referencing codes with documentation. I also use automated tools to flag potential errors before submission. Additionally, I follow a systematic workflow and document each step to ensure consistency. Regular audits and feedback from supervisors help me identify areas for improvement and refine my processes to minimize errors.