Alisa McCallum
Senior Billing Specialist
Winter Garden,Fl.
Summary
Successful at efficiently handling client inquiries, billing, and administrative tasks. Familiar with contracts and other documents affecting billing processes. Prepares professional, polished statements and business correspondence. Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information.
Overview
8
8
years of professional experience
Work History
Senior Billing Specialist
Circle Medical Care Of California
07.2023 - Current
- Provided excellent customer service, developing and maintaining client relationships.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Worked with multiple departments to check proper billing information.
- Processed and verified invoices to secure accuracy of billing information.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
- Compiled and tracked outstanding balances owed to medical facilities.
- Processed billing calls and answered questions from patients and third-party carriers.
- Corrected, completed and processed claims for multiple payer codes.
- Processed online and paper appeal submissions and refund requests.
- Assisted in reconciling deposit and patient collections.
Medical Billing Specialist
Breakthrough Behavior
02.2020 - 05.2022
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Located errors and promptly refiled rejected claims.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Identified and resolved patient billing and payment issues.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Attained up-to-date knowledge of coding requirements through continuing education courses and certification renewal.
Education
Diploma - Medical Assisting
Gwinnett College - Sandy Springs
Orlando, FL05.2017
Diploma - Medical Insurance Billing
Ultimate Medical Academy - Clearwater
Clearwater, FL04.2015
Skills
- Payment Posting
- Invoice Processing
- Contract Preparation
- Fiscal Reporting
- Claims Processing
- Medicare and Medicaid Process
- HIPAA Compliance Certification
- Commercial and Private Insurance
- Multitasking and Organization
- Records Management
- Claims Review
- Medical Coding Knowledge
- CMS-1500 Billing Forms
Timeline
Senior Billing Specialist
Circle Medical Care Of California
07.2023 - Current
Medical Billing Specialist
Breakthrough Behavior
02.2020 - 05.2022
Diploma - Medical Assisting
Gwinnett College - Sandy Springs
Diploma - Medical Insurance Billing
Ultimate Medical Academy - Clearwater
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