Many past - due hospital bills result from insurance claims processing delays and
procedure coding errors.
Not exact matches
If a
procedure is not covered, the explanation of benefits will also typically have a
code or
error, with a short explanation as to why it's not covered.
That is not «auditing» in the sense used here of examining
code for
errors, but it is the normal
procedure for checking results.
• Implemented a series of quality assurance checks which reduced data entry
errors by 85 % • Acquired commendation for «the most apt
coding procedures performed by an employee in 2 years» by meticulously handling medical
coding procedures, following quality control standards • Recorded patients» data including treatment records, insurance information and bills and payments • Set up payment plans for patients, especially for delinquent accounts to expedite outstanding payments • Audited records to ensure appropriate submission of services and determine final diagnosis and
procedures stated by healthcare providers • Evaluated each record to ensure that it complete and comprehensive • Ensured that any missing information was derived from source documents or healthcare providers / doctors
* Establish office
procedures to reduce
coding errors.
The more you know about the
procedures and diagnosis
codes you bill for, the easier it will be for you to determine
code linkage on your claims, reducing costly and time consuming
errors on claims that should get paid in the first place!
Professional Experience St. Mary's Home Care / Infinite Wellness / Concept's Family Care Net (Raleigh, NC) 01/2010 — Present Agency Manager & Billing Specialist • Manage and train team members in company policies,
procedures, and industry best practices • Research, analyze and resubmit denied claims for adjudication in a timely and professional manner • Oversee the billing process including
coding, keying, and submission of new billings • Communicate with clients on billing
errors and corrective action plans
Professional Duties & Responsibilities Served as office manager and executive assistant ensuring effective and efficient operations Directed customer service department resulting in client satisfaction and repeat business Trained and supervised junior administrative support staff and customer service personnel Managed and streamlined company shipping, receiving, and documentation processes Decreased receiving
errors, increased quality control, and improved client satisfaction levels Oversaw company inventory, replenishment, and tracking of supply usage Maintained confidential patient records ensuring accurate and easily accessible information Authored workman's compensation reports for main billing office Achieved highest proficiency rating for MPC
code entering in 5 years Responsible for written correspondence, telephone system, and in person reception duties Scheduled patient appointments and handled patient intake
procedures Performed additional administrative duties including faxing, photocopying, and filing Conducted all responsibilities in courteous, polite, and positive manner