Ventra VIP Award recipient recognized for outstanding performance and leadership in healthcare billing and insurance support. Supervise a team of 15 agents, ensuring daily performance, quality standards, and compliance with company policies and HIPAA regulations.
Experienced in handling escalation calls and resolving complex patient billing issues, including reviewing Explanation of Benefits (EOBs), analyzing denied claims, and following up on appeals to ensure timely resolution and payment. Verify patient eligibility, explain insurance benefits such as coverage limits, co-pays, and deductibles, and provide claim status updates to members and providers.
Oversee accurate payment posting and account reconciliation for Anesthesiology, Neonatology, Pathology, and Pain Management services. Collaborate with insurance companies, providers, and internal teams to resolve billing discrepancies, prevent claim denials, and ensure accurate insurance information on patient accounts.
