Excel
Amanda Adkins
Greensboro,NC
Summary
Experienced medical claims professional with a wide-ranging background across multiple departmental roles within the medical billing field. A dependable, driven, and reliable team player possessing excellent people skills and a dedicated work ethic. Detail-oriented, with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
17
17
years of professional experience
Work History
Medical Billing Coordinator
UpStream Pharmacy
04.2023 - Current
- Effectively resolved disputes regarding coverage eligibility or claim denials through professional communication with insurance representatives.
- Assisted in staff training initiatives to develop a knowledgeable team capable of handling complex billing situations effectively.
- Leveraged strong organizational skills to maintain comprehensive patient accounts, enabling quick access to relevant information during billing inquiries.
- Participated in cross-functional meetings, providing valuable insights into billing operations and ensuring proper coordination among various departments.
- Contributed to the development of best practices for medical billing operations, ensuring consistency across the billing team members.
- Improved billing accuracy by implementing stringent quality control measures and enhancing documentation processes.
- Safeguarded sensitive patient data through strict adherence to HIPAA guidelines and implementation of secure record-keeping practices.
- Identified areas for process improvement within the billing department, leading to increased productivity among team members.
- Reduced claim denials and rejections by conducting thorough audits and addressing discrepancies prior to submission.
- Coordinated with clinical teams to ensure proper documentation was received for accurate coding and claim submissions, reducing delays in reimbursements.
- Communicated with insurance providers to resolve denied claims and resubmitted.
Medical Billing Specialist
UpStream Pharmacy
04.2022 - Current
- Manages multiple facilities claims and monthly revenue reports,
- Sends monthly invoices to clients
- Collaborated closely with the clinical team to ensure proper documentation was obtained for accurate billing purposes.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Located errors and promptly refiled rejected claims.
- Identified and resolved patient billing and payment issues.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
Medical Billing Representative
Select Lab Partners
01.2020 - 04.2022
- Manage nursing home claims and accompanying reports, key insurance claims for South Carolina customers, take patient calls regarding account questions, train new hires in departmental workflow and practices, utilize multiple insurance portals (BCBS, UHC, Medicare/Medicaid, etc) to obtain patient information, assist supervisor in delegating tasks.
Administrative Assistant
Forsyth Janitorial Services
06.2011 - 01.2020
- Purchased inventory for the company and customers, managed invoicing through QuickBooks, assisted with employee payroll, delegated specific cleaning duties, assisted with creating cleaning contracts with construction companies, assisted cleaning duties when employee’s were off.
Reference Test Clerk
Salem Family Practice
08.2010 - 05.2011
- Entered patient data and ordered testing for blood work
- Prepared blood work samples for transport to LabCorp for testing
- I was subcontracted through LabCorp to work in a medical office.
Accessioner
Laboratory Corporation of America
06.2007 - 08.2010
- Entered patient data into medical records system, centrifuged blood work samples for testing, and prepared samples for overnight shipment to main lab in Burlington, NC.
Education
Bachelor of Science, Health Care Consumer – Trends and Marketing, Public and Community Health, Health Care Information Systems, Health Care Quality Management and Outcomes Analysis - Healthcare Management
University of Phoenix
Phoenix, Arizona01.2023
Associate of Arts, Health Information Administrator (RHIA), Healthcare Management - Medical Administration
University of Phoenix
Phoenix, Arizona01.2012
Medical Terminology, Body Systems, Health Information Content, Structure, and Processing, Health Information Management, Analysis, Legal Issues -
Ashworth College
Atlanta, Georgia01.2011
Skills
- Electronic Medical Record (EMR) software
- Managed care contract knowledge
- HIPAA Compliance Understanding
- Motivation and Initiative
- Denial Resolution Techniques
- Professionalism and Ethics
- Organizational abilities
- Strong planning skills
- Deadline-driven
- Teamwork and Collaboration
- Excellent written communication
- Problem-Solving skills
- Claims Processing Proficiency
Accomplishments
- Collaborated with partnering Coordinator in the development of our Chart Review Quality Report, Claims Follow-up Database, Billing Team Chart Review Audit, Recovered Claims Report.
- Collaborated with Billing Director, Scheduling Manager, and Scheduling Team Lead to create the Life Cycle Audit Report.
- Collaborated with partnering Coordinator and Billing Director to create our Month End Close Checklist.
- Assisted in supervising a team of 7 staff members.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference
Work Type
Full TimePart TimeContract WorkWork Location
RemoteImportant To Me
Work-life balanceCareer advancementPaid time offFlexible work hoursWork from home optionPersonal development programsQuote
Every problem is a gift—without problems we would not grow.
Tony Robbins
Software
Outlook
EMR Healthcare systems
Timeline
Medical Billing Coordinator
UpStream Pharmacy
04.2023 - Current
Medical Billing Specialist
UpStream Pharmacy
04.2022 - Current
Medical Billing Representative
Select Lab Partners
01.2020 - 04.2022
Administrative Assistant
Forsyth Janitorial Services
06.2011 - 01.2020
Reference Test Clerk
Salem Family Practice
08.2010 - 05.2011
Accessioner
Laboratory Corporation of America
06.2007 - 08.2010
Bachelor of Science, Health Care Consumer – Trends and Marketing, Public and Community Health, Health Care Information Systems, Health Care Quality Management and Outcomes Analysis - Healthcare Management
University of Phoenix
Associate of Arts, Health Information Administrator (RHIA), Healthcare Management - Medical Administration
University of Phoenix
Medical Terminology, Body Systems, Health Information Content, Structure, and Processing, Health Information Management, Analysis, Legal Issues -
Ashworth College
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