Alla Parsons

Verified patient insurance eligibility and coverage using Availity, Navinet, and web-based tools, and calculated patient financial responsibility by reviewing benefits, deductibles, limits, and authorization requirements. Resolved complex, pending, and denied authorizations/claims while maintaining accurate system records and tracking logs.

Assisted customers with medical supply requests, including verifying eligibility, benefits, and authorization requirements. Entered information into internal systems, ordered supplies, and scheduled delivery shipments.

Supported pediatric and adult blinded and unblinded clinical trials as a Senior Statistical Programmer/Statistical Programmer II. Served as Programming Lead for 5 years and co-led projects, providing technical guidance to lower-level programmers remotely.

Performed medical coding for the hospital billing department by translating medical terminology into the coding system. Applied CPT and ICD code knowledge to ensure accurate service coding for insurance reimbursements.

Obtained referrals and pre-authorizations and reviewed patient charts to identify documentation discrepancies. Assigned ICD and CPT codes, transmitted claims electronically or by paper, and followed up on unpaid claims by researching EOB rejections and unresolved accounts, including secondary billing.

Handled account follow-up for multiple hospitals and free-standing outpatient facilities by posting and reconciling insurance and patient payments. Researched and resolved incorrect payments and EOB rejections/denials, corrected and re-billed denied claims, performed secondary billing, and ensured collections activity followed company processes and timely filing restrictions.

Completed a medical billing certification and earned the CMBP (Certified Medical Billing Professional) credential.

Earned the AAPC Certified Professional Coder (CPC) credential.

Completed a Bachelor degree in Civil Engineering from Kharkov State University of Civil Engineering.