I have extensive experience with various healthcare reimbursement systems, including Medicare and Medicaid. In my previous role, I managed claims processing and ensured compliance with regulatory requirements. I am proficient in using software like HCPCS and CPT codes to accurately process reimbursements and have successfully reduced claim denials by implementing better documentation practices.

When faced with billing discrepancies, I first review the documentation to ensure all necessary information is present and accurate. I then liaise with the billing department and providers to resolve any issues. My approach involves clear communication and a systematic review of billing codes and procedures to prevent future discrepancies.

I regularly attend webinars, participate in professional forums, and subscribe to industry newsletters to stay informed about regulatory changes. Additionally, I engage with colleagues and mentors to discuss updates and their potential impacts on reimbursement processes. This proactive approach helps me ensure compliance and adapt to new requirements efficiently.

In a previous role, I encountered a complex issue where a significant number of claims were being denied due to incorrect coding. I conducted a thorough audit, identified the root cause, and provided training to the billing team on proper coding practices. This intervention led to a substantial reduction in denied claims and improved our reimbursement rates.

I prioritize tasks based on urgency and impact on revenue. I use tools like task lists and calendars to manage my workload effectively. Critical tasks, such as resolving denied claims or addressing urgent billing issues, are tackled first. I also delegate tasks when appropriate to ensure efficiency and timely completion of all responsibilities.