Alison Crawford
Hanover,MA
Summary
Motivated and ethical medical billing specialist seeking to establish a fulfilling career within a reputable organization . Existing focus on accuracy and efficiency, while ever striving to expand my skill set and establish myself as an asset to the company's success.
Overview
6
6
years of professional experience
Work History
ACCOUNT REPRESENTATIVE
Manet Community Health Center
Quincy, MA
06.2023 - Current
- Query patients, insurance payers, clinical, and administrative staff to resolve outstanding bill issues.
- Handle billing and patient accounts for Wellsense, Blue Cross, various commercial payers alongside their respective vision and behavioral health carve out plans.
- Monitor billing reports to identify trending issues and resolve.
- Led insurance training for new hires, providing them with a comprehensive understanding of our company, offered services, insurance verification, registration process, and EHR tools.
BILLING LEAD
Boston Senior Medicine
Canton, MA
12.2022 - 06.2023
- Oversaw end-to-end billing operations, encompassing coding, claims submission, denial resolution, appeals processing, and generating patient statements .
- Posting insurance payments and adjustments .
- Establishing contracts with insurance companies and credentialing providers.
- Submitting referral requests, lab orders, and prior authorization requests.
- Verifying patient eligibility and maintaining up to date patient charts.
- Enhanced office efficiency and accuracy by implementing EMR tools and internal record keeping techniques.
MEDICAL BILLING SPECIALIST
Plymouth ENT
Plymouth, MA
06.2022 - 06.2023
- Generating and coding claims based on physician encounter forms
- Ensuring accurate ICD-10 and CPT code selection through visit summary review
- Managed claim submissions for doctors, physician assistants, audiologists, allergists, and somnologists in a timely manner.
- Billed for hospital surgeries, outpatient procedures, pre-op and post-op visits, diagnostic testing, hearing aid assistance and CPAP compliance related visits.
- Monitored aging accounts receivable balances ensuring timely resolution of outstanding balances.
Classroom Facilitator
The Cheesecake Factory
Braintree, MA
06.2018 - 06.2022
- Started as a dessert finisher and cashier in the bakery, quickly advancing to become a star baker - a bakery supervisor responsible for collaborating closely with management to ensure efficient daily operations.
- Promoted to dedicated trainer responsible for training new hires to the bakery, cashier, and curbside teams and acting as a reliable point person for assistance in any role while on site.
- promoted to classroom facilitator - teaching a weeklong class to all front of house new hires about the company culture and extensive menu .
- Utilize a combination of presentations, Q&A sessions, team building activities, and hands-on training exercises to actively involve students in the learning process.
- Monitored students' proficiency and communicated any concerns or feedback to management.
- Led the Serv Safe class and administered exams.
Education
CBCS - Medical Billing And Coding
Southeastern Technical Institute
Easton, MA06-2016
HIGH SCHOOL DIPLOMA -
Bridgewater-Raynham Regional High School
Bridgewater , MA05-2014
Skills
- Medical Billing
- Customer Service
- Problem solving
- Leadership
- Adaptability
- Administrative skills
Timeline
ACCOUNT REPRESENTATIVE
Manet Community Health Center
06.2023 - Current
BILLING LEAD
Boston Senior Medicine
12.2022 - 06.2023
MEDICAL BILLING SPECIALIST
Plymouth ENT
06.2022 - 06.2023
Classroom Facilitator
The Cheesecake Factory
06.2018 - 06.2022
CBCS - Medical Billing And Coding
Southeastern Technical Institute
HIGH SCHOOL DIPLOMA -
Bridgewater-Raynham Regional High School