Competent Medical Biller providing 9 years of experience in handling wide variety of medical coding and billing tasks, including Accounts Receivable, Payment Posting, Charge Posting, and Authorizations. I am a Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Experienced Supervisor leading team members to on-time job completion. Assigning tasks, training new employees, providing feedback, and mediating interpersonal conflicts and implement company procedures. Excellent communication and listening skills. Providing leadership and vision which drives my team to meet their goals. I also have many years Working in High paced restaurants providing an excellent Dining experience for Customers.
Overview
12
12
years of professional experience
Work History
Business Office Payment Poster
Hca Healthcare Methodist ASC
04.2022 - Current
Enhanced accuracy of payment postings by conducting thorough audits, ensuring correct allocation to accounts.
Assisted with account reconciliation efforts, identifying missing payments and rectifying discrepancies for accurate reporting.
Reviewing Insurance payments/EOB' to ensure claims are being paid at correct contract rates, Reviewing insurance denials and working with collections team to resolve denied and underpaid claims
Trained new hires on payment posting processes, promoting a smooth transition into the role and fostering team cohesion.
Utilized Microsoft Excel to manage invoices and payments.
Used data entry skills to accurately document and input EOB and pt payment information .
Medical Billing Specialist
Arizona Cardiology Group/Honor Health
11.2014 - 10.2021
Supervisor/ Team Lead
Maximized team knowledge and productivity by effectively training, monitoring and directing employees.
Orchestrated day-to-day operations of billing department, including medical coding, payment posting, accounts receivables and collections.
Prevented financial delinquencies by working closely with Supervisors to resolve billing issues before becoming unmanageable.
Maintained work structure by updating job requirements and job descriptions for all positions.
Determined required job seeker qualifications for potential interview by reviewing and evaluating resume and application information.
Conducted interviews with potential New Hires.
Trained new employees on multiple medical billing positions, (Data Entry, Insurance Verification, Payment posting, Office and Hospital Charges.)
Billing Specialist
Communicated with insurance providers to resolve any denied claims and resubmit.
Researched and followed up on denied insurance claims.
Researched CPT and ICD-10 coding discrepancies for compliance and reimbursement accuracy.
Processed insurance company denials by researching procedures and diagnostic codes to determine proper reimbursement.
Located errors and promptly refiled rejected claims.
Collected payments and applied to patient accounts.
Accurately posted payments and adjustments both electronically and manually from Insurance companies.
Took money and cards from customers to handle payment processing.
Accurately posted medical claims.
Submitted electronic and paper claims to insurance companies to collect medical payments.
Precisely evaluated and verified benefits and eligibility.
Determined and Obtained prior authorizations for Testing.
Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information.
Server
Waffle House
10.2012 - 12.2017
Collaborated with kitchen team to support order preparation, manage efficient deliveries and minimize customer service issues by verifying meals.
Collected credit card, and cash payments and dispensed change for cash transactions.
Kept updated knowledge of menu and promotions, recommending specific items according to preferences and food allergies.
Used correct cleaning, sanitizing and food handling procedures to maintain optimal protections for customers.
Prepared beverages and filled food orders for customers.
Greeted new customers, discussed specials, took drink orders and built immediate positive connections with guests.
Sand Which Artist
Subway
02.2014 - 10.2015
Communicated menu item information and offered suggestions to promote featured products.
Met sales targets by encouraging customers to buy extra food items such as drinks, desserts and sides.
Maintained clean, sanitized and well-organized food preparation zones.
Efficiently prepared sandwiches and other menu items for guests.
Organized work areas to foster efficiency and model exceptional kitchen etiquette.
Executed sandwich artistry duties with very low occurrence of errors.
Education
High School Diploma -
Pacific View Charter School
Skills
Accounts receivable management
Medical Records Management
Insurance Knowledge
Payment Processing
Invoice Processing
HIPAA Compliance
Billing
Patient Care
CPT Coding
Medical Billing
Bill Payment
Collection calls
Menu presentation
High-volume dining
Hospitality service expertise
Dining area maintenance
Menu memorization
Additional Information
Proficient in Microsoft Excel, Microsoft Word, and Microsoft Outlook
Clinical Nurse Coordinator, Emergency Department at HCA Healthcare: Methodist HealthcareClinical Nurse Coordinator, Emergency Department at HCA Healthcare: Methodist Healthcare