Teisha Boudreaux

Processed insurance claims accurately and efficiently, ensuring compliance with HIPAA regulations.

Managed patient billing inquiries and resolved discrepancies to enhance patient satisfaction.

Maintained medical records with attention to detail, and ensured confidentiality.

Coordinated insurance verification and referrals for patient appointments.

Utilized eClinicalWorks software for billing and administrative tasks, enhancing operational efficiency.

Utilized Athena software for billing and administrative tasks.

Rural healthcare billing for primary care providers.

Utilized the Trizetto clearinghouse website to ensure up-to-date insurance plan enrollment.

Efficient in HCFA 1500 and UB-04 billing for secondary insurance claims.

Register patients, and schedule patient appointments via telephone and in person.

Answering telephone calls and emails, responding to requests for information, and directing callers to the correct personnel. Collect forms, copy/scan insurance cards, and picture IDs to coordinate patient information for billing and insurance processing.

Collect, record, and post cash, check, and credit card transactions made by patients. Insurance verification and appointment confirmation prior to the appointment date. Maintain consistent patient confidentiality in alignment with HIPAA protocols. Maintain patient confidentiality of records relating to the patient's treatment.

Interact with providers, other medical staff members, and insurance carriers regarding billing and documentation policies, procedures, and regulations to ensure swift payment and issue resolutions. Interaction with patients regarding financial responsibilities prior to services being rendered, as well as assisting patients, medical staff, providers, and insurance companies to resolve any billing or patient account concerns, and/or questions.

Submits diagnosis and procedure codes, claims to insurance companies. Provides an exceptional patient experience through friendly and compassionate communications. Maintain current knowledge of the health records system, and guide new employees on correct usage. Called in patient prescription refills. Assess data and information to check entries, calculations, and billing codes for accuracy. Make necessary corrections to claim denials, and resubmit the claim in a timely manner. Exceptional knowledge and daily duties of canceling, voiding, and recreating claims with errors for correct insurance processing. Reaches out to patients and insurance carriers in order to resolve patient account problems. Performed day-to-day financial transactions, including verifying, classifying, computing, posting, and recording accounts receivable and payable data, and reconciled daily totals to confirm proper accounting. Experienced in understanding and posting insurance explanations of benefits, adjustments, and payments. Exceptional knowledge and practice in applying primary care billing insurance modifiers, CPT codes, and ICD-10 codes onto claims. Exceptional knowledge and practice in applying NDC (National Drug Code) entry and conversion from 10-digit format to 11-digit format for therapeutic medications and seasonal injections, as well as exceptional knowledge and application of correct administration CPT codes used per insurance guidelines. Exceptional knowledge in Home Health Certifications and Recertifications billing guidelines for patient plan of care forms provided by Home Health and Hospice facilities, which are reviewed and signed by the providers.

Experience with insurance referrals and authorizations. Exceptional experience, and provides guidance in applying correct insurance plan billing information into patient demographics. Maintains updated knowledge of up-to-date payor information enrollment. Utilization of the Passport Onesource software program for multiple insurance verifications for patients' current eligibility coverage. Utilization of access to multiple payor websites for insurance verification for the patient's current eligibility coverage. Over 10 years of experience using the electronic health record system, eClinicalWorks. Experience in HCFA billing for multiple payors.

Applying correct billing templates into eClinicalWorks prior to patient visits. Correcting billing errors.

Reviewing claims to ensure all billing information is correct, including provider information, facility assignment, and modifier usage. Utilization of daily report details to ensure all necessary corrections are completed for claim submissions. I attended weekly conference calls for updates and general touch-base interactions with supervisors and coworkers to discuss any questions or concerns, ensuring that the correct precautions and measures were taken to properly carry out assistance duties.