Bachelor of Science in Business Administration
Gingoog City Colleges
Hi! My name is Mary, I am a High-performing, HIPAA-certified medical billing specialist, AR specialist, SUD/MH insurance verification specialist, and medical VA with over 6 years of experience in the fields. Delivering thorough and accurate eligibility and benefit information. Examining denials of claims in order to maximize revenue and identify a solution. Being able to easily cooperate with team members in order to generate ideas and provide concepts that will enhance the process' effectiveness and productivity.
Gingoog City Colleges
o Monitor claim status and handle problems like rejections, denials, or discrepancies.
o Perform posting charges
o Prepare insurance claims and submit them to insurance company
o Posting payment to patient account
o Follow up on unpaid or denied claims to appropriate parties/payers
o Maintain confidentiality and follow HIPAA regulations.
o Patient billing
o Perform task in a timely and professional manner
o Manage team members and ensure updates are followed
o Adhere HIPAA
o Data entry
o Eligibility and benefits verification either portals or phone calls
o Enter Patients’ demographics
o Conduct VOB audit to ensure VOB submitted were accurate
o Meeting with team members or coaching to ensure that they are up to date of their KPI
o Received email requests from facilities
* Maintains records of financial transactions by establishing accounts; posting transactions; ensure legal requirements compliance.
* Balances general ledger by preparing a trial balance; reconciling entries.
* Prepares financial reports by collecting, analyzing, and summarizing account information and trends.
Answer Student’s questions related to Business studies
• Healthcare Insurance Benefits and Eligibility Specialist
• Claims examiner
• Authorization and appeal examiner
• Introduce company products to customers
• Assist Customers to open a new account
Verify eligibility and benefits Examine Denied Claims Update enrollment discrepancies
Search the Internet for information on a wide variety of topics.
Verify Member benefits via phone calls or portals
Ensure claims are follow up to maximize revenue