ALISON CRAWFORD
Hanover,MA
Summary
Motivated and ethical Medical Billing Specialist seeking to establish a 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
06.2023 - Current
- Query patients, insurance payers, clinical, and administrative staff to resolve outstanding bill issues
- Maintains all billing and patient accounts for Wellsense, Blue Cross, all miscellaneous commercial payers and their respective vision and behavioral health carve out plans
- Field incoming calls to answer any questions or direct to appropriate staff
- Monitor billing reports to identify trending issues and resolve
- Assist with contracting, credentialing, and other insurance and administrative tasks as assigned.
BILLING LEAD
Boston Senior Medicine
10.2022 - 06.2023
- Oversees all aspects of billing including coding and submission of claims, resolving denials, submitting appeals, 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
- Improve office efficiency and accuracy through implementation of EMR tools and internal record keeping.
MEDICAL BILLING SPECIALIST
Plymouth ENT
04.2022 - 10.2022
- Generating and coding claims based on physician encounter forms
- Ensuring accurate ICD-10 and CPT code selection through visit summary review
- Ensure accurate and timely claim submission for multiple facilities and their providers including doctors, physician assistants, audiologists, allergists and somnologists
- Billing for a variety of hospital surgeries and outpatient procedures as well as pre-op and post-op visits, diagnostic testing, hearing aid assistance and CPAP compliance related visits.
CASH POSTER & BILLING SPECIALIST
Audit Billing Center
06.2018 - 10.2020
- Began as a cash poster utilizing Nextgen and Soarian to post credit card and check payments to both hospital and physician accounts for Wentworth Douglass Hospital and Cambridge Health Alliance
- September 2019 promoted to (third party) billing specialist working denials management for Greater Lawrence Family Health Center
- January 2020 began new project for Wentworth Douglass Hospital
- Assisted in EMR transition involving the resolution of outstanding balances
- Utilized Citrix, Nextgen, and Soarian, in collaboration with a variety of online provider portals.
Education
CBCS - Medical Billing And Coding
Southeastern Technical Institute
South Easton06.2016
HIGH SCHOOL DIPLOMA -
Bridgewater-Raynham Regional High School
Bridgewater, MA05.2014
Skills
- Medical Billing
- Medical Coding
- Payment Posting
- HIPPA certified
- Customer Service
- Cash Posting
- Problem Solving
- Organizational skills
- Leadership skills
Accomplishments
Linda Candioty Employee of the Month - July 2017
Manet STAR Award recipient - August 2024
Timeline
ACCOUNT REPRESENTATIVE
Manet Community Health Center
06.2023 - Current
BILLING LEAD
Boston Senior Medicine
10.2022 - 06.2023
MEDICAL BILLING SPECIALIST
Plymouth ENT
04.2022 - 10.2022
CASH POSTER & BILLING SPECIALIST
Audit Billing Center
06.2018 - 10.2020
CBCS - Medical Billing And Coding
Southeastern Technical Institute
HIGH SCHOOL DIPLOMA -
Bridgewater-Raynham Regional High School
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