Lady Carenn Serion

• Verify patient insurance eligibility and benefits to ensure accurate coverage information.
• Review insurance plans, coverage details, deductibles, copays, coinsurance, and authorization requirements.
• Communicate verified benefits and coverage limitations to schedulers to support accurate scheduling and patient coordination.
• Contact insurance providers when additional clarification or verification is needed.
• Maintain accurate and up-to-date insurance information in the system.
• Document verification results and communicate any coverage concerns or changes to the appropriate team.
• Coordinate with scheduling and other departments to help prevent eligibility and coverage issues.
• Handle sensitive patient and insurance information with accuracy and confidentiality.

Manage billing processes for skilled and non-skilled home health services, including Medicaid, Medicare, commercial insurance, and private pay.

● Verify patient insurance eligibility, benefits, and authorization requirements.

● Review and submit accurate claims while following payer requirements and billing guidelines.

● Post payments, monitor accounts receivable, and follow up on outstanding or denied claims.

● Coordinate with intake, scheduling, and care teams to ensure accurate patient and service information.

● Manage patient referrals, admissions, authorizations, medical records, and required documentation.

● Maintain accurate billing and patient records while ensuring confidentiality and compliance.

● Communicate with insurance companies, patients, and internal teams to resolve billing and coverage issues.

● Utilize home health systems and platforms to manage patient information, documentation, authorizations, and billing workflows.

• Post and reconcile patient and insurance payments accurately in the billing system.
• Review EOBs and ERAs to ensure payments, adjustments, denials, and patient balances are properly recorded.
• Apply payments to the correct patient accounts and resolve posting discrepancies.
• Process insurance and patient payments while maintaining accurate account records.
• Identify underpayments, overpayments, and outstanding balances for follow-up.
• Coordinate with billing and accounts receivable teams to resolve payment and account issues.
• Maintain confidentiality of patient and financial information while ensuring accuracy and timely processing.

• Managed medical billing and revenue cycle processes, including claim submission and follow-up.
• Verified insurance eligibility and benefits.
• Posted payments and maintained accurate patient accounts.
• Followed up on denials, outstanding claims, and accounts receivable.
• Communicated with insurance payers to resolve billing and payment issues.