Kassandra Castellanos

- Denied, Pending, Rejected claims follow up

- Appeals for claims and surgery authorizations

- Code Cataract, Ocuplastics, Glaucoma, Mohs and Trauma Surgeries

- Write off/ Adjustments

- Insurance payment posting

- Answer patient billing questions.

- Unallocated payments

- Surgery Scheduling (schedule, reschedule, make surgery grids, IOL orders, communicate between ASC and providers)

- Vision biller/vision follow up, medically necessary contact lens claims.

- Workers comp claims.

-Provider Guidance to front desk regarding, deductibles, copays insurances.

• Verify dental, oral surgery benefits, make insurance profiles, quotes, AR billing, send claims with proper attachments

Lead biller for ASC contracts in New Mexico and Phoenix. Payment posting for patient payments, EOB, Appeals, Communicated with insurance providers to resolve denied claims and resubmitted, Worked collections on a regular basis. (part time)

• Adding surgeries for each provider into the schedule according to each providers preference
• Verifying insurance/benefits
• Making sure check-in-checkout had all charts prepped 2 weeks out
• Over seeing front desk responsibilities as making sure all staff understood the difference between patients copays, deductibles/coins and were charged before surgery
• Printed surgeons schedule were printed, highlighted ready for them
• Took pictured of patients eye depending on what surgery was being performed
• Made
• Staffing schedule, Coordinated with Providers assistant on credentialing and on board paper work and preference cards
• When staff was short helped clean beds and walk patients out to cars after discharge.

• Prepping encounters for all providers which include verifying insurance eligibility/Benefits, Referrals and
• Authorizations, keeping insurance cards and HIPAA up to date, checking patients balance for upcoming appointments as well as printing statements, AR Billing(Account Review)
• Check-Out, Check-In, batching out, Making/Canceling, Rescheduling Appointments