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 any billing discrepancies. My experience has equipped me with the skills to efficiently manage billing processes and ensure timely and accurate reimbursement.

When encountering discrepancies in patient billing, I first review the claim details to identify the source of the error. I then communicate with the insurance company or patient to clarify any misunderstandings and provide necessary documentation. I ensure that all corrections are made promptly to maintain accurate records and prevent future issues.

To ensure compliance with healthcare regulations, I regularly update my knowledge of current billing codes, HIPAA guidelines, and insurance requirements. I also conduct regular audits of billing practices to identify any potential non-compliance issues and implement corrective measures. Additionally, I stay informed about industry changes through continuing education and professional networking.

In a busy billing environment, I prioritize tasks based on urgency and impact on revenue flow. I start by addressing any claims that have been denied or are overdue for payment. I then focus on submitting new claims promptly to ensure timely reimbursement. I also maintain a daily checklist to track progress and adjust priorities as needed.

One challenging issue I resolved involved a complex claim that was repeatedly denied due to incorrect coding. I meticulously reviewed the patient's medical records, corrected the coding errors, and resubmitted the claim with detailed documentation. After several follow-ups with the insurance company, the claim was finally approved, resulting in a significant reimbursement for the healthcare provider.