Summary
Overview
Work History
Skills
Timeline
Generic

Christina Daniel

Hixson,TN

Summary

Organized Medical Biller thoroughly versed in medical coding and HIPAA requirements. Personable professional with over 20 years of hands-on experience claiming refunds, reviewing claims and maintaining billing reports. Accommodating and helpful team player proficient in job-related billing software. Detail-oriented and methodical Medical billing specialist offering 20+ years of experience in related roles. Exceptional abilities in conducting research, problem-solving and prioritizing simultaneous tasks. Leverages resourcefulness, critical thinking skills and superior work ethic for top job performance.

Overview

4
4
years of professional experience

Work History

A/R Representative

MedSrv, LLC
05.2023 - Current
  • Working in no response work que, Using insurance website or calling insurance company for claim status, Resubmitting claims for processing, Mentoring new hires
  • Identified, researched, and resolved billing variances to maintain system accuracy and currency.
  • Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
  • Supported management by processing invoices and documents with consistent on-time delivery.
  • Managed complex problem-solving for upper management in order to complete projects on-time and within budget.

Medical Billing and Collections Specialist

Pps Orthotic And Prosthetic Services
09.2022 - 04.2023
  • Oversaw daily collections and accounts receivable activities, developing robust strategies to maximize collections and reduce aged accounts
  • Took billing calls, questions and concerns from patients and third party carriers
  • Entered patient charges and payments into electronic health records
  • Processed refund requests and reconciled deposit and patient collections
  • Identified errors and re-filed denied or rejected claims quickly to prevent payment delays
  • Applied HIPAA privacy and security regulations while handling patient issues
  • Completed and submitted appeals for denied claims
  • Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered
  • Posted and adjusted payments from insurance companies
  • Verified proper coding, sequencing of diagnoses and procedures
  • Tracked and recorded status of delinquent accounts and sent follow-up letters to request payment
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements
  • Reviewed received payments for accuracy and applied to intended patient accounts
  • Prepared and attached referrals, treatment plans or other required correspondence to reduce incidence of denials.

Medical Billing Supervisor

Chattanooga Eye Institute
01.2021 - 09.2022
  • Discuss/provide patients with financial responsibility counseling and forms for signature
  • Ensure Hippa privacy and security compliance at every level of services provided and tasks performed
  • Ensure prior authorization, if applicable, is obtained prior to delivery and/or billing
  • Applied HIPAA privacy and security regulations while handling patient information
  • Completed and submitted appeals for denied claims
  • Reviewed claims for coding accuracy
  • Organized information for past-due accounts and transferred to collection agency
  • Submitted and accurately processed insurance claims with related medical code verifications and assessments
  • Oversaw daily collections and accounts receivable activities, developing robust strategies to maximize collections and reduce aged accounts
  • Took billing calls, questions and concerns from patients and third party carriers.
  • Submitted electronic and paper claims to insurance companies, Medicare and Medicaid to collect medical payments.
  • Analyzed medical records to satisfy insurance company mandates.
  • Increased revenue by identifying underpayments and errors, ensuring proper reimbursement from insurance companies.

Medical Biller and Coder

Mountain Management
05.2020 - 01.2021
  • Filed and submitted insurance claims
  • Reviewed received payments for accuracy and applied to intended patient accounts
  • Reviewed medical records to meet insurance company requirements
  • Expertly assigned charges and payments for medical procedures
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements
  • Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.

Skills

  • Month-End Documentation (6 years)
  • Microsoft Office (5 years)
  • Financial Reporting
  • Good Work Ethic (10 years)
  • Accounts Payable and Receivable (9 years)
  • Reports Reconciliation (10 years)
  • Organizational Skills
  • Collections and Invoice Processing (10 years)
  • Invoicing and Billing (10 years)
  • Problem Resolution (10 years)
  • Data Entry and 10-Key (10 years)
  • Medical Billing
  • CPT Coding
  • ICD-10
  • Medical Coding
  • Medical Office Experience
  • EMR Systems
  • Insurance Verification
  • Medical coding
  • HIPAA
  • EMR systems
  • ICD coding
  • Epic
  • Ophthalmology
  • Accounts receivable
  • Supervising experience
  • Account reconciliation
  • Medical terminology
  • Communication skills
  • Athena healthcare
  • Cerner
  • Strong Communication Skills
  • Professionalism and Ethics
  • Customer Account Reconciliation

Timeline

A/R Representative

MedSrv, LLC
05.2023 - Current

Medical Billing and Collections Specialist

Pps Orthotic And Prosthetic Services
09.2022 - 04.2023

Medical Billing Supervisor

Chattanooga Eye Institute
01.2021 - 09.2022

Medical Biller and Coder

Mountain Management
05.2020 - 01.2021

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Christina Daniel