Alayna Wilds
MUKILTEO,WA
Summary
Seasoned Medical Billing Manager with a proven track record at Ballard Pediatric Clinic, enhancing revenue cycle management and patient satisfaction through expert claims processing and meticulous attention to detail. Skilled in HIPAA compliance, electronic health records, and excel in analytical thinking and self-motivation, significantly reducing denied claims.
Overview
22
22
years of professional experience
Work History
Medical Billing Manager
Ballard Pediatric Clinic
07.2007 - Current
- Reviewed billing problems, researched issues, and resolved concerns.
- Increased patient satisfaction by addressing billing inquiries promptly and professionally.
- Reviewed historical records, current operational data and forecasting information to identify and capitalize on system enhancement opportunities.
- Maintained up-to-date knowledge of regulatory changes impacting medical billing practices to ensure ongoing compliance within the organization.
- Facilitated cross-departmental collaboration between clinical teams as well as finance and administrative staff.
- Complied with established internal controls and policies.
- Developed strong relationships with insurance companies through effective communication and negotiation skills.
- Scanned paper records to transfer to digital filing systems.
- Redacted information as requested when faced with potential privacy violations.
Medical Biller and Records Clerk
Everett Ear Nose & Throat
08.2002 - 06.2007
- Ensured HIPAA compliance by adhering to strict confidentiality guidelines when handling sensitive patient information.
- Processed medical records requests from outside providers according to facility, state, and federal law.
- Scanned medical records in digital format for easy retrieval and accessibility.
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- Played a pivotal role in maintaining positive cash flow within the organization by ensuring timely submission of clean claims.
- Assisted patients with understanding their insurance coverage and financial responsibilities, fostering positive relationships and trust between the practice and its clients.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Maintained accuracy, completeness, and security for medical records and health information.
- Followed exact procedures for handling transfers and other releases of medical records.
Education
Bachelor of Science - Accounting
Bellevue College
Bellevue, WA06.2023
Skills
- HIPAA Compliance Knowledge
- Organizational skills
- Proficiency in Microsoft Word, and PowerPoint
- Electronic Health Records Experience
- Continuous Improvement Mindset
- Attention to Detail
- Prioritizing and Planning
- Self Motivation
- Internal Controls and Reporting Systems
- Visitor and Customer Relations
- Effective Communication
hobbies include playing Softball and bowling.
I play softball on several teams throughout the Spring, Summer, and Fall. In the Fall and Winter I am on a bowling league. I kae my own creative and funny Halloween costumes every year.
Timeline
Medical Billing Manager
Ballard Pediatric Clinic
07.2007 - Current
Medical Biller and Records Clerk
Everett Ear Nose & Throat
08.2002 - 06.2007
Bachelor of Science - Accounting
Bellevue College
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