I have over five years of experience in hospital billing, primarily using systems like Epic and Cerner. I've managed billing for diverse departments, ensuring accurate coding and timely claims submission. My role involved training staff on new billing software and optimizing billing workflows to reduce errors and improve revenue cycle management.

I approach disputes systematically, starting with a thorough review of the claim and the denial reason. I then gather necessary documentation and communicate directly with the insurance company to negotiate or appeal the decision. My goal is to resolve issues efficiently while maintaining a professional relationship with the insurer.

I stay updated with the latest billing regulations and train the billing team accordingly. We conduct regular audits to identify and correct non-compliance issues promptly. Additionally, I implement policies that encourage staff to report potential compliance issues, fostering a culture of accountability and integrity.

I would ensure clear communication about the changes, their impact, and the timeline. I'd involve team members in the planning and training process to boost their confidence and ownership. Regular check-ins and feedback sessions would help address concerns and adjust strategies as needed to maintain team morale and productivity.

I once encountered a series of denials due to incorrect patient classification. After analyzing the issue, I discovered a coding error in the system. I coordinated with IT to correct the coding and retrained the billing staff on patient classification. This intervention reduced denials by 70% and significantly improved our billing accuracy.