Medical billing professional with extensive experience in managing patient billing processes and ensuring timely claim submissions. Known for strong collaboration within teams and delivering reliable outcomes. Possesses deep knowledge of coding standards and insurance guidelines, coupled with client-focused approach.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Medical Billing Specialist
Angela Otano
112-13 Atlantic Ave, South Richmond Hill
01.2024 - Current
Processed and submitted medical claims using advanced billing software, ensuring compliance with regulations.
Reviewed patient accounts for accuracy, identifying discrepancies and facilitating timely resolutions.
Collaborated with healthcare providers to clarify billing inquiries and enhance communication on account statuses.
Analyzed claim denials to develop strategies for reducing rejections and improving revenue cycle efficiency.
Implemented process improvements that streamlined workflows, resulting in faster claim submissions and reimbursements.
Maintained up-to-date knowledge of insurance guidelines, coding standards, and regulatory changes impacting billing processes.
Communicated with insurance providers to resolve denied claims and resubmitted.
Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
Assistant Pharmacy Technician
Pharmacy Express
01.2019 - 02.2021
Dispensed medications to patients to ensure adherence to treatment plans.
Facilitated prescription preparation and coordinated refill requests to ensure patient care continuity.
Executed medication packaging and labeling to enhance accuracy and facilitate efficient distribution.
Conducted thorough and timely collection of patient data to support healthcare operations.
Coordinated communication strategies to enhance collaboration and drive task execution.
References
Ms. Carmella Ramkhelawan - (347)-691-8774
Ms. Azhar Ali - (868)-681-7964
Hostess/Cashier
The Petaluma Restaurant
Upper East Side Manhattan, New York
06.2019 - 09.2019
Addressed guest and employee complaints to enhance customer satisfaction and workforce efficiency.
Executed verification of restaurant receipts and finalized end-of-day paperwork using specialized software for operational accuracy.
Utilized software to document reservations and inform guests of applicable charges for clarity and accuracy.
Handled customer service inquiries and reservation bookings via in-person and telephone channels, leveraging software to streamline processes and enhance guest satisfaction.
Managed front entrance activities, welcoming new guests and effectively resolving multiple concurrent issues.
Medical Billing Specialist at Heartview Foundation - Drug And Alcohol Treatment And EducationMedical Billing Specialist at Heartview Foundation - Drug And Alcohol Treatment And Education