Medical Biller and Prior Authorization Specialist

• Communicated with insurance providers to resolve denied claims and resubmitted. • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers. • Delivered timely and accurate charge submissions. • Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records. • Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.

• Adhered to established standards to safeguard patients' health information. • Liaised between patients, insurance companies, and billing office. • Posted payments and collections on regular basis. • Reviewed patient diagnosis codes to verify accuracy and completeness. • Communicated with insurance providers to resolve denied claims and resubmitted. • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers. • Delivered timely and accurate charge submissions. • Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records. • Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.