Since the medical assistant job description is so varied, instructors must present students with key skills in
regards to insurance billing, office ordering, how to write in medical charts, and how to maintain patient records for privacy.
Not exact matches
Excited by the discovery, Glickman presented the idea of callback
to his bosses, only
to be told that Amex had no interest in risking irritating Argentina's only phone company; it essentially
regarded its outrageous phone
bills as
insurance that its telephone service would remain at least semireliable.
The majority of your role will be
to work with
insurance companies
regarding the
billing of procedures.
Medical
billers are required
to review hospital and patient records, calculate charges, submit claims, and answer patient and
insurance company questions
regarding claims.
Typically life
insurance is used as income replacement
to protect growing families by leaving behind money
to pay a mortgage, college tuition,
bills, etc. but he hasn't contributed in
regards to any of this.
At the outset, we will review all available
insurance policies, process medical
bills when necessary, and advise our clients with
regard to coverage for medical treatment, lost wages and other benefits that may become available immediately after an accident.
The jury should not make suppositions about who may have paid the the plaintiff's
bills or other damages, but should make the full award of damages without
regard to possibility of
insurance payments by others.
For example, hold onto all medical
bills and receipts
to prove how much medical care you have paid for, as well as information
regarding medical expenses paid by
insurance or any other party.
Most recently, she has provided legislative submissions on behalf of the Ontario Bar Association
to the Ministry of Finance
regarding Bill 171 — Fighting Fraud and Reducing Automobile
Insurance Rates Act, 2014.
It is common for a primary health
insurance policy and auto
insurance policy
to contain contradictory language
regarding which policy is first obligated
to pay medical
bills.
The
Bill also cuts red tape in legal profession regulation, for example by providing for the Legal Services Board
to delegate decisions
regarding indemnity
insurance exemptions, allowing the LSB
to cease disciplinary investigations when a practitioner has already been struck off the roll and removing redundant reporting requirements.
Bill co-chairs the firm's
insurance practice, bringing a wealth of knowledge
to the table
regarding contract and
insurance issues, and teams with clients
to resolve contract disputes and protect their bottom line.
The purpose of PIP coverage is
to allow a driver
to have their car
insurance company pay their medical
bills and other expenses like lost wages without
regard for who caused the car wreck.
It is a good idea
to talk
to an
insurance agent if you have any questions
regarding your policy and options that could reduce your
bill.
The hospital authorities said that because of dispute between
insurance companies and hospitals
regarding reimbursement of medical
bills, the hospitals have decided
to discontinue cashless facility.
Under the no fault rules, each person's
insurance will cover their doctor's
bills with no
regard for who was
to blame in the accident.
As per the changes that were proposed, in the Senate
Bill 477 & 490 and House
Bill 834 the
Insurance Commissioner will cease to have any regulatory authority with regard to auto insuran
Insurance Commissioner will cease
to have any regulatory authority with
regard to auto
insuranceinsurance rates.
No - fault
insurance helps
to cover the cost you or your passengers have in
regard to medical
bills that stem from an accident.
Note that if you have a spotty payment history with
regards to previous auto
insurance bills, even if you are accepted into the Plan your assigned auto insurer can insist that you pay the entire annual premium up front with your application.
Medical Payments coverage - an
insurance company will pay for medical
bills or funeral cost in case of death without
regard of fault up
to the limits
Regarding documents you will have
to submit one photograph, one photo id proof (PAN Card or Driving Licence or Passport etc), one address proof (electricity
bill, phone
bill, bank statement, Other
insurance company premium receipt etc), one income proof if required (Bank statement, salary slip, Form 16, Income Tax Returns Receipt etc)
Provide prompt, accurate, and friendly customer service which includes responding
to inquiries
regarding insurance availability, eligibility, coverages, policy changes, claims submissions, and
billing clarification
Ajilon, Duluth, MN 1/2007
to 5/2011 Medical
Biller • Collected information about delinquent accounts and contacted customers
to provide them with information on how
to pay them back • Reviewed patients»
bills for accuracy and attempted
to collect missing information • Followed up on unpaid claims with
insurance companies and determined reasons for non-payment • Determined reasons for denied claims by interviewing
insurance company representatives over the telephone • Checked
insurance payments
to ensure that they are in compliance with contract discounts • Handled discrepancies in payments by investigating causes and making allowances for mistakes • Respond
to patients» information
regarding billing services and denials
• Greet patients as they arrive into facility and provide them with appropriate information • Answer telephone and guide callers
regarding medical procedures • Schedule and reschedule patients» appointments • Cancel patients» appointments and provide them with new dates • Provide medical
billing and coding duties • Take and record patients» vitals • Provide education
to patients
regarding medical procedures • Prepare patients for medical procedures • Obtain patients» information and record it in the database • Pull patients» records for doctors» review • Arrange for hospital admissions • Direct calls and messages
to appropriate hospital or medical office staff • Call up patients and remind them of their appointments • Manage filing and record keeping activities • Order supplies and forms for the medical office • Manage inventory of office supplies • Submit
insurance claims • Update patients»
insurance information • Ensure completeness and accuracy of patients»
insurance forms prior
to submitting • Assist doctors by providing limited procedural support • Obtain and process new patients» referrals • Take and record patients» demographic location information • Initiate and maintain correspondence with patients and families • Liaise with
insurance companies • Verify clients»
insurance information
• Provided response
to inquiries from
insurance carriers and patients
regarding billing charges.
Main duties of a medical coder and
biller include claim submission
to insurance companies, calculation of charges payable and answering questions and queries of the patients
regarding the
billing procedures.
• Assess all
insurance claims against patient services rendered and make a
to do list • Assist patients in filling our
insurance claim forms and verify form data • Ask questions
to assist in determining out any ambiguous information • Verify completeness of information on medical
insurance forms • Post
insurance billing information data into predefined database systems • Make list of
insurance companies
to contact for
billing purposes • Determine how
to approach each
insurance company on the list, based on its reputation • Contact
insurance companies
to determine status of claims • Follow up on unpaid claims, including denial, exceptions and exclusions • Ask why claims have been denied and provide relevant correlating information • Resubmit denied claims with additional information
to prove denial is inappropriate • Provide information
to collection agencies
regarding delinquent or past due accounts • Prepare and submit secondary claims for patients with more than one
insurance coverage • Maintain understanding of managed care authorizations and limit coverage
to a certain number • Verify patients» benefits eligibility and coverage expanse • Maintain knowledge of ICD9 and CPT treatments
to be able
to handle data entry and claim check duties appropriately • Gather and maintain patient data including medical histories,
insurance identification and diagnosis
• Highly skilled in preparing, sending and tracking all CMN's and prescriptions
to physicians • Demonstrated ability
to get
insurance re-certification and authorization • Able
to maintain perfect and complete records relating
to billing activity and inventory tracking • Familiar with the rules and regulations
regarding the different types of coverage
• Responded
to telephone calls for information
regarding the medical facility's services • Scheduled patients for appointments and ensured that they were provided reminders a day prior
to them • Assisted patients in filling out registration forms and obtained and verified their
insurance information • Calculated and collected balances and co-pays and ensured that all
insurance billing activities, including follow up, was managed in a time - efficient manner
• Qualified
to provide constant vendor / contractor communication
regarding scheduling,
billing and certificates of
insurance • Deeply familiar with handling human resources activities such as hiring and training personnel and conducting ongoing training
to ensure achievement of property's operational goals • Competent in initiating and implementing policies and procedures
to maintain resident communications, including service requests and complaints
• Organized and processed paperwork, reports and all kinds of claims documentation • Entered, recorded and reviewed claims into claims information management system • Performed verification checks on the customer / claimant loss - claims following company's standard policies and procedures • Attended
to clients, claimants, field appraisers and management queries,
regarding claims using the claims MIS • Forwarded appropriate claims for new losses verifying data for accuracy • Performed
billing and payment processes • Processed routine claims transactions related
to reserves and issued required checks or receipts • Resolved all kinds of issues / problems
regarding claims and payments • Regularly run and generated claims reports for management • Gave formal presentations
regarding all claims activities
to the senior management at the bimonthly • Utilizing outstanding communication and interpersonal skills maintained strong and positive relationships with the providers, the claimants, and the clients • Provided company with necessary clerical support like handling fax, attending and making telephone calls as directed, filing and photocopying, matching checks with receipts etc. • Prepared, updated and organized customer and client's files • Managed all types of correspondence preparing, reviewing and sending memos, letters, emails, reports, applications, and forms • Provided effective CSR
to providers, field appraisers, agents,
insurance agencies, clients and customers • Matched incoming emails, mails, and faxes with the claims records • Arranged and set up medical appointments for health claims • Kept department's office supplies stocked • Maintained confidential claims information including correspondence with sensitive information • Accelerated claims correspondences as well as updated claims diaries • Worked in a team on several pilot claim projects • Reviewed and kept the record of closed files
* Managed incoming calls from
insurance companies, providers, and patients in
regard to bills.
WORK EXPERIENCE May 2010 — Present Green Tree — Kennesaw, GA 52147 Collections Representative • Research
regarding unsettled account balance that is completely or partially unpaid • Ensure follow up by mail and phone
to insurance carriers or customers on felonious payments • Investigate customer's accounts and documents methodically • Punch all information about collection action of account into
billing system • Resolve inconsistencies and prepare adjustments • Coordinate collection agency communication • Answer customer inquiries about account status • Evaluate claims denied for payment and poorly paid claims • Verify payment information adjustments
to manager
Performed
billing and coding, verified
insurance eligiblity, patients (incoming) calls
regarding billing, posting payments, data entry, filed, sorted invoices alphabetical order and numerical order, set up patients appointments, translated information
to spanish - speaking clients from the Doctors, called patients in
to be seen.
Calculate cost estimates for treatment Explore patient assistance programs, copay cards, and financials
to get patient qualified for assistance Create treatment plans for Chemotherapy, Radiation, and Scans Meet with patients
to review financial responsibilities prior
to treatment and collect payments for treatment Assist patients with inquiries
regarding charges, payments, balances, and credits for services rendered Make sure all treatments have authorization and claims are processing correctly Audit logs
to make sure payments are accurate Assist the patient with all
billing inquires Correct
billing and
insurance errors Create weekly and monthly financial reports for office.
Update specimens with current
billing information
to bill insurance carriers Update specimens with additional information
regarding secondary coverage Print & understand Explanation of Benefit statements in order
to bill patients Print and appeal claims for denials Read and understand departmental SOP's for working denials or correspondence Understand denials from carriers
to determine next best action according
to SO...
Medical
Billing Specialist — Duties & Responsibilities Manage medical billing, coding, and customer service operation for industry leading corporations Develop extensive experience with all major medical insurance providers Provide exceptional customer service resulting in 100 % client satisfaction rating Maximize reimbursements and minimize costs through effective management Serve as member of Rate Book Committee overseeing 80,000 outpatient third party accounts Recruit, hire, and train staff ensuring understanding of company brand, policies, and procedures Responsible for $ 100 million per year in company income and company record of $ 46 million in one month Oversee financial management providing best practices and strategic planning Build and strengthen relationships with third party payors including Medicare, Medicaid, and others Author and present reports to senior leadership regarding company financial health Set and strictly adhere to departmental budgets and project timelines Ensure compliance with applicable laws and industry regulations Establish and maintain detailed records regarding claims, billing, and client information Create and implement clinical and nonclinical team training activities Consistently promoted for excellence in management, customer service, and revenue generation Study internal literature to become an expert on products and services Represent company brand with poise, integrity, and pos
Billing Specialist — Duties & Responsibilities Manage medical
billing, coding, and customer service operation for industry leading corporations Develop extensive experience with all major medical insurance providers Provide exceptional customer service resulting in 100 % client satisfaction rating Maximize reimbursements and minimize costs through effective management Serve as member of Rate Book Committee overseeing 80,000 outpatient third party accounts Recruit, hire, and train staff ensuring understanding of company brand, policies, and procedures Responsible for $ 100 million per year in company income and company record of $ 46 million in one month Oversee financial management providing best practices and strategic planning Build and strengthen relationships with third party payors including Medicare, Medicaid, and others Author and present reports to senior leadership regarding company financial health Set and strictly adhere to departmental budgets and project timelines Ensure compliance with applicable laws and industry regulations Establish and maintain detailed records regarding claims, billing, and client information Create and implement clinical and nonclinical team training activities Consistently promoted for excellence in management, customer service, and revenue generation Study internal literature to become an expert on products and services Represent company brand with poise, integrity, and pos
billing, coding, and customer service operation for industry leading corporations Develop extensive experience with all major medical
insurance providers Provide exceptional customer service resulting in 100 % client satisfaction rating Maximize reimbursements and minimize costs through effective management Serve as member of Rate Book Committee overseeing 80,000 outpatient third party accounts Recruit, hire, and train staff ensuring understanding of company brand, policies, and procedures Responsible for $ 100 million per year in company income and company record of $ 46 million in one month Oversee financial management providing best practices and strategic planning Build and strengthen relationships with third party payors including Medicare, Medicaid, and others Author and present reports
to senior leadership
regarding company financial health Set and strictly adhere
to departmental budgets and project timelines Ensure compliance with applicable laws and industry regulations Establish and maintain detailed records
regarding claims,
billing, and client information Create and implement clinical and nonclinical team training activities Consistently promoted for excellence in management, customer service, and revenue generation Study internal literature to become an expert on products and services Represent company brand with poise, integrity, and pos
billing, and client information Create and implement clinical and nonclinical team training activities Consistently promoted for excellence in management, customer service, and revenue generation Study internal literature
to become an expert on products and services Represent company brand with poise, integrity, and positivity
Maxim Healthcare Services 08/2007 — 01/2008 Reimbursement Representative • Reviewed unpaid accounts
to ensure proper payment and accounting • Contacted payers
regarding insurance claims, denials, and reimbursements • Assigned appropriate
billing codes
to claims as needed • Observed all Medicare, Medicaid, and other applicable medical law
Heather Appold came and spoke
to the students in the Medical Assistant, Medical
Insurance Billing and Office Administration, Dental Assistant, and Pharmacy Technician programs
regarding volunteer opportunities available at Covenant Hospital.
Director of Business — Duties & Responsibilities Recruit and train staff of 30 in hospital policies, procedures, best practices, and corporate branding Design and implement staff development, recognition, and disciplinary policies and procedures Oversee admissions, utilization review, PB X, imaging center,
billing, collections, and wound center registrations Set and strictly adhere
to departmental budgets and schedules Author and present financial reports concerning revenue, expenses, and outstanding collections Identify performance indicators and benchmarks for integration into reporting systems Conduct surveys
regarding patient / staff satisfaction, benchmarks, accreditation, and employee benefits Maintain a 99 % patient satisfaction score through attentive and professional standards of care Negotiate contracts and claims with
insurance carriers, Medicare, Medicaid, and other payer sources Increase revenue by 30 % through effective contract renegotiation with suppliers, carriers, and other parties Implement policies, procedures, and equipment
to cut hospital costs while enhancing patient care Utilize strong management experience
to drive operations in an efficient and professional manner Develop and implement
billing controls, cash processing measures, lockboxes, and other financial processes Coordinate and oversee internal and external audits ensuring compliance with industry and legal standards Recruit physicians through successful marketing, networking, and other tactics Implement automated Chargemaster financial application (Craneware) and maintain patient accounts Responsible for HCAHPS and the yearly Quality Assurance Plan Appeal claims when appropriate resulting in $ 400,000 reimbursement from PPO
insurance over the last year Build and strengthen professional relationship with community leaders, coworkers, and industry figures Consistently promoted for excellence in financial management, team leadership, and dedication
to mission Develop working knowledge of hospital operations from patient admission
to senior level strategic planning Represent company with poise, integrity, and positivity