I have over three years of experience in insurance billing and collections, primarily with a focus on medical claims. I am proficient in using billing software such as Epic and Cerner to process claims accurately and efficiently. My role involved managing patient accounts, ensuring timely payments, and resolving billing discrepancies. I also have experience in negotiating with insurance companies to secure maximum reimbursement.

When faced with disputes or denied claims, I first review the claim details to understand the reason for denial. I then gather necessary documentation and follow the insurance company's appeal process. I communicate effectively with both the insurance providers and the clients to resolve issues promptly. My goal is to minimize the financial impact on the practice by ensuring that legitimate claims are paid.

To improve collection rates, I implement proactive strategies such as regular follow-ups with insurance companies and patients. I also analyze payment trends to identify areas for improvement and adjust billing practices accordingly. Educating patients about their financial responsibilities and providing clear billing statements helps in reducing misunderstandings and improving payment compliance.

In a busy environment, I prioritize tasks based on urgency and impact. I use tools like task lists and calendars to manage my workload effectively. I also collaborate with my team to delegate tasks and ensure that critical issues are addressed promptly. Regular communication with stakeholders helps in staying updated on priorities and making informed decisions.

In my previous role, I encountered a situation where a series of claims were repeatedly denied due to a coding error. I worked closely with the coding department to correct the errors and resubmitted the claims. I also engaged with the insurance company to explain the corrections and ensure that the claims were processed correctly. This proactive approach resulted in the successful collection of over $50,000 in previously denied claims.