Amy Ford

Monitored claim status through insurance portals and phone follow-ups. Submitted timely adjustments and filed appeals/reconsiderations for various denial reasons to support reimbursement.

Coded provider accounts using Office Ally/Practice Suite and reviewed medical records to support accurate submissions. Followed up on claims, applied patient copayments and insurance payments, and submitted appeals for denial reasons.

Checked claim status via portals and phone follow-ups and applied patient copayments and insurance payments. Prepared and submitted appeals/reconsiderations for denial reasons and handled adjustment requests.

Collected and followed up on insurance accounts receivable in line with federal and state requirements, improving reimbursement performance by identifying claim trends. Managed denials through appeals, resubmissions, demographic updates, and credit research while documenting all account activity using NextGen, Waystar, and Clearwave.

Verified patient insurance benefits by contacting payers and updated coverage when benefits were not confirmed. Collected copays, followed up on claim status, entered EOBs into ECM, and pursued resolution for denied or un-reimbursed claims.

Reviewed provider/contract spreadsheets to ensure claims were submitted within contract terms and corrected insurance or demographic errors blocking clearinghouse transmission. Applied patient self-pay rates/copoly amounts, supported provider follow-ups for coding questions, and monitored grandfathered rate/copay rules.

Maintained daily spreadsheets for patient demographics, payers, and billed amounts to track submission and reimbursement status. Submitted claims via HAS/Emdeon clearinghouse, resolved denials, and coordinated with insurance payers for claim processing updates.

Coded behavioral health patient accounts and collected copays while communicating payment due to patients and authorized parties. Followed up on submitted claims through multiple channels and set up payment plans for patients unable to pay in full.

Handled high-volume call center collections for remaining medication balances by contacting patients or responsible parties. Updated accounts with new insurance when needed, arranged rebills, and routed accounts to third-party agencies for collection.

Performed insurance verification to support claim readiness and reduce payment delays. Managed records and coordinated required documentation to help ensure coverage eligibility before billing.

Supported patient access processes related to patient choice and helped ensure appropriate next steps for coverage and services. Maintained timely communication to keep cases moving in a fast-paced environment.

Verified insurance coverage and reviewed required documentation to help ensure claims could be submitted correctly. Identified coverage issues early and supported efficient resolution to reduce billing delays.

Pursuing CPC professional coding certification, expected completion in April 2025.

Earned a GED at Arizona High School.