ALEXIS BANKS
Summary
Well-qualified Medical Billing Specialist proficient in ICD-10 coding with 8 years of experience in handling wide variety of medical coding and billing tasks. Demonstrated success analyzing existing systems and providing recommendations for improvement. Forward-thinking and hardworking with flexible and diligent approach. Driven Medical Biller motivated to perform beyond expectations.
Overview
11
11
years of professional experience
Work History
Medical Billing/ AR Specialist
Midlantic Urology
04.2021 - Current
- Reduced account receivables aging through diligent follow-up on outstanding claims and prompt resolution of denials.
- Organized and filed all necessary documentation related to medical billing procedures, maintaining a streamlined office environment conducive to efficient operations.
- Ensured accurate coding and billing practices, resulting in reduced claim rejections and faster reimbursements.
- Resolved complex billing issues involving multiple parties by effectively coordinating communication among healthcare providers, insurers, and patients.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Correctly coded and billed medical claims for various Ambulatory Surgery Centers and Office visits.
- Collaborated with medical coders to ensure proper use of CPT, ICD-10, and HCPCS codes for accurate claim submission and compliance with industry standards.
- Checked status of rejected claims in clearinghouse.
- Implemented process improvements to increase overall efficiency and effectiveness in managing the daily tasks associated with Medicare collections activities.
- Valued for being extremely detail oriented.
- Negotiated successful appeals for complex denials, recovering lost revenue for the organization.
- Collaborated with billing team to address issues, resulting in fewer denials and increased revenue.
- Worked with multiple EMR and EHR systems.
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
Revenue Operations Specialist II
Tricounty Pain Management Center
09.2015 - 04.2021
- Contributed to revenue cycle management by accurately coding services rendered for billing purposes.
- Enhanced revenue cycle management through timely and accurate charge entry for medical procedures and services.
- Improved charge entry accuracy by diligently reviewing and verifying patient demographic information.
- Answered questions and assisted providers and office staff.
- Reduced errors in charge capture by maintaining up-to-date knowledge of CPT, ICD-10, and HCPCS codes.
- Managed high-volume workload while maintaining exceptional attention to detail for precise data input into the medical billing system.
- Verified insurance eligibility and information to update database.
- Assisted in training new employees on charge entry procedures, promoting best practices for efficient workflow management.
- Managed high volume of medical claims, maintaining organization and prioritization to meet deadlines consistently.
- Conducted thorough investigations of medical claims to ensure proper payment or denial.
- Worked with Workers Compensation claims
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Proven ability to learn quickly and adapt to new situations.
- Excellent communication skills, both verbal and written.
- Organized and detail-oriented with a strong work ethic.
- Demonstrated strong organizational and time management skills while managing multiple projects.
Customer Care Advocate
Optum
09.2013 - 09.2015
- Explained customers current health plan
- Assisted in finding claims for clients
- Worked with computer programs aligned with the company's system
- Multi-tasked through multiple running programs and multiple monitors while assisting customers with questions and concerns
- Utilize empathy and active listening skills to provide personalized and compassionate assistance to each customer, ensuring a positive experience with Optum's customer care services
- Deliver exceptional customer service by actively listening to customers' needs and providing personalized solutions to enhance their overall experience with Optum
- Drive continuous improvement by identifying areas of inefficiency in customer care processes and implementing solutions to enhance the overall customer experience with Optum
Education
High School Diploma -
Central High School
01.2011
Skills
- Time Management
- Email Management
- Organization
- Basic IT Knowledge
- Detail Oriented
- Communication
- Medical Billing
- Insurance Claims Processing
- EMR
- EPIC
- ICD-10
- UB-04
- Medicare Billing
- Excel
- Eclipse
- Medent
- Payment tracking
- EHR Systems
Timeline
Medical Billing/ AR Specialist
Midlantic Urology
04.2021 - Current
Revenue Operations Specialist II
Tricounty Pain Management Center
09.2015 - 04.2021
Customer Care Advocate
Optum
09.2013 - 09.2015
High School Diploma -
Central High School
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