August 2013 — Present
Process claims as a Reimbursement Specialist performing billing and collection activities for a variety of payers including Medicare, Medicaid, and Commercial Insurance Plans. Nature of business is DME supply.
8 / 2012 – Present Reimbursement Specialist
Support complex billing, coding, and reimbursement issues.
Negotiate and advise on collection of overdue bills and take appropriate action to recover overdue payments
Rely on contractual relationships with payors to resolve issues.
Complete timely revenue collection from patients, third party payers, via accurate entry and/or correction of patient, charges and insurance information.
IC9 coding and compliance, contracting and credentialing for any potential in delay/denial of reimbursement.
Work with outside legal counsel and/or outside agencies in more complex collection cases Act as a liaison with external third party payer (insurance) representatives to validate and correct information.
Prepare daily reports run macros re: V/look up and pivot tables and Fee analysis processes.
Coordinate the resolution and collections of all delinquent high dollar and special accounts for my assigned payors