Terry Anderson

Medical Billing Specialist

Billrite Medical Billing Service

Bell Buckle

01.2000 - Current

Process medical claims using electronic billing systems and software.
Review patient records for accuracy and completeness before submission.
Communicate with healthcare providers to resolve billing discrepancies.
Follow up on unpaid claims to ensure timely payments from insurers.
Maintain patient confidentiality in all billing interactions and documentation.
Collaborate with team members to streamline billing procedures and workflows.
Educate patients about their insurance benefits and billing processes.
Stay updated on industry regulations and changes affecting medical billing practices.
Contacted insurance providers to verify insurance information and obtain billing authorization.
Adhered to HIPAA regulations when handling confidential patient information.
Posted charges, payments and adjustments.
Completed appeals and filed and submitted claims.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Applied payments, adjustments, and denials into medical manager system.
Maintained detailed records of all billing activities including denials, adjustments, and payments received.
Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment.
Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
Provided customer service support to patients who had questions about their bills or payments due.
Submitted refund requests for claims paid in error.
Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
Ensured HIPAA compliance by maintaining confidentiality of all patient information.
Resolved discrepancies between insurance companies and patients regarding payment of bills.
Monitored aging accounts receivable balances ensuring timely resolution of outstanding balances.
Initiated collection efforts on unpaid accounts by contacting insurance companies or patients directly via phone or mail.
Maintained timely and accurate charge submission through electronic charge capture, including billing, and account receivables (BAR) system and clearing house.
Verified the accuracy of claim data prior to submission to insurance carriers.
Precisely completed appropriate paperwork and system entry regarding claims.
Updated patient accounts with information obtained from internal departments or external sources.
Reviewed and verified benefits and eligibility with speed and precision.
Accurately coded diagnostics and prepared billing statements for patients.
Generated monthly invoices for patients based on services provided according to established fee schedules.
Assisted with the reconciliation of accounts receivable ledgers at month-end close process.
Created and processed claims to third-party payers using specific coding guidelines.
Prepared billing statements for patients, ensuring correct diagnostic coding.
Researched complex billing issues involving multiple providers or services rendered over a period of time.
Processed credit card payments from patients in accordance with office policy.
Contacted patients for unpaid claims for HMO, PPO and private accounts and performed friendly follow-ups to ensure proper payments were made according to contracts.
Developed strategies for improving collections performance while reducing bad debt write-offs.
Conducted research on insurance policies, procedures, and regulations to ensure compliance with all applicable laws.
Generated financial reports for management review.
Applied HIPAA privacy and security regulations while handling patient information.
Communicated with insurance representatives to complete claims processing or resolve problem claims.
Handled billing, waivers and claims for private and commercial clients.
Organized information for past-due accounts and transferred to collection agency.
Input details into accounts and tracked payments.
Submitted claims to insurance companies.
Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
Collected, posted and managed patient account payments.
Answered customer questions to maintain high satisfaction levels.
Checked claims coding for accuracy with ICD-10 standards.
Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
Executed account updates and noted account information in company data systems.
Reconciled codes against services rendered.
Monitored past due accounts and pursued collections on outstanding invoices.
Processed invoice payments and recorded information in account database.
Developed strong professional rapport with vendors and clients.
Participated in workshops, seminars, and training classes to gain stronger education in industry updates and federal regulations.

Summary

Overview

Work History

Medical Billing Specialist

Education

Medical Billing - Medical Billing

Skills

References

Timeline

Medical Billing Specialist

Medical Billing - Medical Billing

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