Allison Spell
Edwards,MS
Summary
With a proven track record at Revitalize Infusion Center, I excel in optimizing medical billing processes and leading teams to enhance revenue and reduce errors. Skilled in ICD-10 and adept at effective communication, I've significantly improved billing accuracy and compliance, demonstrating a commitment to excellence and team development.
Overview
23
23
years of professional experience
Work History
Medical Billing Supervisor
Revitalize Infusion Center
05.2023 - Current
- Submitted electronic and paper claims to insurance companies, Medicare and Medicaid to collect medical payments.
- Analyzed medical records to satisfy insurance company mandates.
- Increased revenue by identifying underpayments and errors, ensuring proper reimbursement from insurance companies.
- Managed a team of medical billers, providing guidance and support for their professional development.
- Reduced claim denials by maintaining up-to-date knowledge of insurance policies and regulations.
- Reviewed outgoing bills for eligibility and accurateness.
- Led patient account reconciliations by identifying and rectifying discrepancies within patient accounts, ensuring accurate billing and collection processes.
- Optimized workflow processes within the department, leading to a reduction in errors and delays in claim submissions.
- Maintained current accounts through aged revenue reporting.
- Collected payments and applied to patient accounts.
- Verified insurance of patients to determine eligibility.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted payments and collections on regular basis.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Delivered timely and accurate charge submissions.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Medical Billing Supervisor
Mississippi Rheumatalogy and Osteoporosis Center
10.2001 - 10.2024
- Submitted electronic and paper claims to insurance companies, Medicare and Medicaid to collect medical payments.
- Analyzed medical records to satisfy insurance company mandates.
- Increased revenue by identifying underpayments and errors, ensuring proper reimbursement from insurance companies.
- Managed a team of medical billers, providing guidance and support for their professional development.
- Reduced claim denials by maintaining up-to-date knowledge of insurance policies and regulations.
- Reviewed outgoing bills for eligibility and accurateness.
- Led patient account reconciliations by identifying and rectifying discrepancies within patient accounts, ensuring accurate billing and collection processes.
- Improved efficiency in the medical billing process by streamlining workflows and implementing best practices.
- Collaborated with physicians and other healthcare providers to resolve complex billing issues promptly.
- Conducted regular audits to ensure compliance with federal, state, and industry guidelines.
- Optimized workflow processes within the department, leading to a reduction in errors and delays in claim submissions.
- Devised new methods to improve billing workflows.
- Complied with HIPAA privacy and security regulations to protect patients' medical records and information.
- Maintained current accounts through aged revenue reporting.
- Championed efforts to stay current with changes in medical coding standards and requirements, keeping the department up-to-date on industry trends.
- Provided ongoing mentorship for junior staff members within the Medical Billing Team who were looking to advance their skills or move into leadership positions themselves.
- Collected payments and applied to patient accounts.
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Posted payments and collections on regular basis.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Liaised between patients, insurance companies, and billing office.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Delivered timely and accurate charge submissions.
- Filed and updated patient information and medical records.
- Provided backup to front desk to step in to assist with various tasks whenever employee was absent or at lunch.
- Completed bi-weekly payroll for 20 employees.
Education
Hinds Community College
Raymond, MS05-1999
High School Diploma -
Forest Hill Highschool
Jackson, MS07-1997
Skills
- Team leadership and supervision
- ICD-10 knowledge
- Claims processing proficiency
- HIPAA compliance
- Electronic health records experience
- Effective communication techniques
- Accounts receivable management
- Payment posting
- Customer service
- Multitasking and organization
Timeline
Medical Billing Supervisor
Revitalize Infusion Center
05.2023 - Current
Medical Billing Supervisor
Mississippi Rheumatalogy and Osteoporosis Center
10.2001 - 10.2024
Hinds Community College
High School Diploma -
Forest Hill Highschool
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