Rossbrielle D. Sasing

Precise, efficient medical billing professional with over 4 years of experience in inpatient, outpatient and physician medical billing. Specialize in,

• Claims submission

• Eligibility and Benefits

• Obtaining Authorization

• AR follow up

• Submitting Medical Records and Appeals

• Payment Posting

• Handling secondary claims 

• Experience billing for Psychiatry, Gynecology, Podiatry and DME billing.

• Ensure claims are entered and submitted within 24 hours of receipt.

• Set up a new patient accounts.

• Post insurance and patient payments, resolve incorrect payments, EOB rejections, and other issues with outstanding accounts.

• Insure accuracy of insurance claims; verify correct ICD-10 and CPT codes for a variety of specialties.

• Electronic claim submission to clearinghouse, worked with clearinghouse to resolve the file compatibility issues.

• Retrieve Electronic Remittance Advice (ERA).

• Submit secondary claims upon processing of primary insurance.

• Processing of patient statements. Answer and resolve patient billing inquiries.

• Follow up on insurances on outstanding accounts, resubmit claim as needed.

• Prepare appeal letters to insurance carriers when not in agreement with claim denials. Collect necessary information to accompany appeal.

• Provide monthly reports that reveal the number of claims billed, the codes billed, and the amount paid on the claims with the breakdown of providers. 

• Check production regularly for accuracy.

Gained expertise in all aspects of medical billing including filing claims, refund requests, re-filing rejected claims, completing appeals, and adjusting underpayments.

Committed to staying up to date with all insurance requirements, including the details of patient financial responsibilities, fee-for-service, and managed care plans.

Improved medical center efficiency by creating an organized logging system for tracking registrar’s errors in Microsoft Excel. 

Liaised with the business and medical records departments to resolve errors in high dollar accounts to ensure timely and accurate billing.