Summary
Overview
Work History
Education
Skills
Websites
Timeline
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Alicia Guidry

Conroe,TX

Summary

Reliable and competent Medical Billing professional with exceptional data entry and customer service skills. Certified Medical Billing Specialist with 7 years of experience in fast-paced, multiple-client medical billing company serving large private practice conglomerates and outpatient clinics. Researched denied claims and submitted appeals. Familiar with health billing and collections.

Overview

4
4
years of professional experience

Work History

Billing and Credentialing Specialist

Spinezone Medical Fitness
03.2021 - Current
  • Conducted primary source verifications such as background checks and board certifications.
  • Received and evaluated applications to look for missing and inaccurate information.
  • Obtained NPI numbers for providers and facilities and updated existing profiles.
  • Enrolled providers and Medicaid, Medicare and private insurance plans.
  • Identified, researched and resolved billing variances to maintain system accuracy and currency.
  • Generated and submitted invoices based upon established accounts receivable schedules and terms.
  • Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
  • Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
  • Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts.
  • Managed efficient cash flow reporting, posted cash receipts and analyzed chargebacks, independently addressing and resolving issues.
  • Responded to customer concerns and questions on daily basis.
  • Executed billing tasks and recorded information in company databases.
  • Developed rapport with clients and vendors to cultivate loyalty and satisfaction.
  • Monitored outstanding invoices and performed collections duties.
  • Utilized talents and expertise to complete on-time and accurate monthly closing processes, journal entries and accruals.

Patient Service Representative Lead

Spinezone Medical Fitness
02.2020 - 03.2021
  • Assisted patients in filling out check-in and payment paperwork.
  • Took copayments and compiled daily financial records.
  • Used Athenahealth to schedule appointments.
  • Balanced deposits and credit card payments each day.
  • Reviewed and corrected claim errors to facilitate smooth processing.
  • Explained plans for treatment and payment options.
  • Facilitated communication between patients and various departments and staff.
  • Applied administrative knowledge and courtesy to explain procedures and services to patients.
  • Helped address client complaints through timely corrective actions and appropriate referrals.

Scheduler

Naval Medical Center Camp Lejuene
09.2018 - 07.2019
  • Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
  • Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
  • Answered telephone calls to offer office information, answer questions and direct calls to staff.
  • Received, recorded and addressed incoming and outgoing communication via telephone and email.

Education

High School Diploma -

Denham Springs High School
Denham Springs, LA
05.2012

Skills

  • Internal Communications
  • Problem Resolution
  • Credentialing Requirements
  • Medical Billing and Collections
  • Financial Documentation
  • Month-End Closing Procedures
  • Billing Dispute Resolution
  • Claim Processing

Timeline

Billing and Credentialing Specialist

Spinezone Medical Fitness
03.2021 - Current

Patient Service Representative Lead

Spinezone Medical Fitness
02.2020 - 03.2021

Scheduler

Naval Medical Center Camp Lejuene
09.2018 - 07.2019

High School Diploma -

Denham Springs High School

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Alicia Guidry