Us Medical BillerUs Medical Biller

Key Achievements:

Managed and monitored medical-billing support activities involving claims, denials, accounts receivable, payer follow-up, insurance issues, and patient account resolution. Used Imagine billing system and other billing systems to review account information, investigate claim- related issues, document actions, and track cases through resolution. Coordinated with payers and internal billing teams to follow up on outstanding claims, rejected or denied accounts, payment discrepancies, and unresolved balances. Supported the review of EOBs and payment information and escalated accounts requiring corrected claims, appeals, additional documentation, or payer clarification. Prioritized aging accounts and unresolved cases according to urgency, balance, payer requirements, and service-level expectations. Led a team of Customer Service Representatives supporting patients and clients within a medical billing and healthcare environment. Improved team quality scores by 25% through regular performance monitoring, coaching, feedback, and targeted training. Maintained 98% agent availability, ensuring consistent coverage and timely handling of patient and billing-related inquiries. improved issue resolution by 25% by coaching agents on effective problem-solving, escalation, and follow-up procedures. Trained and mentored new and existing representatives on medical billing processes, patient communication, system navigation, and service standards.

Key Achievements:

Served as the primary point of contact for customer inquiries, managing service requests and coordinating resolutions through email, CRM systems, and internal communication channels. Handled high volumes of customer interactions while maintaining accurate records, timely follow-up, and adherence to service procedures. Investigated customer concerns, identified root causes, and coordinated with internal teams to facilitate issue resolution. Maintained detailed records of customer interactions, action items, escalations, and resolutions to ensure continuity of service. Monitored escalated cases through completion, ensuring customers remained informed and satisfied throughout the resolution process. Supported service improvement initiatives by identifying recurring issues and sharing insights with internal stakeholders.