Adrianna Floyd
Groveport
Summary
Dynamic Medical Billing Supervisor with proven success at OhioHealth Group, enhancing revenue through effective claims processing and denial management strategies. Skilled in ICD-10 and HIPAA compliance, I excel in team leadership and staff development, driving continuous improvement and fostering collaboration to achieve exceptional results in patient billing and collections.
Overview
12
12
years of professional experience
Work History
Medical Billing Supervisor
OhioHealth Group
07.2023 - Current
- 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.
- Reduced claim denials by maintaining up-to-date knowledge of insurance policies and regulations.
- Editing billing errors.
- Managed a team of medical billers, providing guidance and support for their professional development.
- Reviewed outgoing bills for eligibility and accurateness.
Medical Scribe
Goodnight Medical
03.2021 - 06.2023
- Documented complete information about examinations, treatment plans, lab results, and other details directly into charts.
- Charted patient encounters by recording information such as diagnosis, treatments, and prescriptions.
- Increased overall productivity of clinical staff by providing real-time scribing support during high-volume shifts, enabling better focus on direct patient care.
- Ensured compliance with HIPAA regulations by consistently maintaining patient confidentiality and protecting sensitive information during documentation processes.
- Pre certifications, referrals and prior authroizations.
Customer Support Specialist
Gateway Financial Solutions
05.2018 - 07.2020
- Developed strong relationships with clients, resulting in repeat business and positive feedback.
- Delivered exceptional customer service experiences by maintaining a positive attitude, active listening skills, and empathetic responses to customer concerns.
- Managed a high volume of inbound calls while maintaining excellent call quality standards and adhering to established procedures.
- Enhanced customer satisfaction by addressing and resolving complex issues promptly and professionally.
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Utilized CRM systems effectively to track customer interactions, document detailed case notes, and access relevant account information quickly when needed.
- 70-100 outbound/inbound calls to help customers with making car payments and assisting with arranging payment arrangements and or voluntary repossessions.
Fraud Prevention Specialist
Discover
06.2013 - 05.2017
- Maintained detailed records of all investigations conducted, providing valuable data for trend analysis and future case management efforts.
- Managed complex cases involving identity theft, credit card fraud, and other forms of financial crime, resulting in successful resolution for affected customers.
- Supported colleagues in navigating difficult situations involving potential fraud by providing timely advice based on professional expertise and experience.
- Conducted thorough investigations of suspected fraud cases, leading to the recovery of lost funds.
Education
Associate of Arts - Communications
Columbus State Community College
Columbus, OH06-2021
Skills
- Team leadership and supervision
- ICD-10 knowledge
- Claims processing proficiency
- HIPAA compliance
- Continuous improvement mindset
- Staff training and development
- Financial reporting
- Denial management strategies
- Payment posting
- Patient billing procedures
- Customer service
- Teamwork and collaboration
- Billing and collection procedures
Timeline
Medical Billing Supervisor
OhioHealth Group
07.2023 - Current
Medical Scribe
Goodnight Medical
03.2021 - 06.2023
Customer Support Specialist
Gateway Financial Solutions
05.2018 - 07.2020
Fraud Prevention Specialist
Discover
06.2013 - 05.2017
Associate of Arts - Communications
Columbus State Community College
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