Jessica Lerew

Managing and maintaining patient accounts, ensuing accurate billing following UPMC policies.

Providing exceptional customer service coworkers, patients, and insurance representative, responding quickly and professionally to resolve inquires.

Examining patient insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies.

Identifying and resolving claim errors, payment discrepancies and issues. Research CPT and ICD-10 policy compliance for reimbursement accuracy.

Verbal and written communication with insurance companies, patients, physicians, and vendors regarding payment issues and resolution.

Completing clear and concise appeals with insurances to resolve denied or incorrectly paid claims.

Understanding and adhering to third-party payer guidelines and reimbursement practices. While continuously updating knowledge of industry regulations and compliance requirements, ensuring adherence to applicable standards.

Enhance revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.

Actively participating in process improvement initiatives, streamlining billing processes for efficient workflow and gains.

Participate in team meetings, sharing insights and ideas for improving department efficiency.

Served as a subject matter expert on medical billing matters, providing guidance to colleagues on complex cases or unique situations.