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Amanda Adkins
Medical Billing Manager
Greensboro,NC
Summary
Talented billing manager familiar with billing requirements. Offering an organized and quality-oriented mindset along with several years of experience in administrative, customer service and leadership positions. Eager to leverage abilities and experience in dynamic new position with room for growth and advancement.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Medical Billing Manager
UpStream Pharmacy
Greensboro, NC, NC
04.2023 - Current
- Developed training programs for new hires and existing staff in order to improve performance and efficiency.
- Identified areas for process improvement within the billing department, leading to increased productivity among team members.
- Assisted in staff training initiatives to develop a knowledgeable team capable of handling complex billing situations effectively.
- Contributed to the development of best practices for medical billing operations, ensuring consistency across the billing team members.
- Participated in cross-functional meetings, providing valuable insights into billing operations and ensuring proper coordination among various departments.
- Leveraged strong organizational skills to maintain comprehensive patient accounts, enabling quick access to relevant information during billing inquiries.
- Identified areas of improvement within the medical billing process and team members, and implemented changes accordingly.
- Prepared monthly financial statements detailing revenue generated by practice locations.
- Effectively resolved disputes regarding coverage eligibility or claim denials through professional communication with insurance representatives.
- 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.
- 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.
- Worked closely with clinical staff to ensure timely submission of claims and accurate coding practices.
Medical Billing Specialist/Coordinator
UpStream Pharmacy
Greensboro, NC
04.2022 - Current
- Managed multiple facilities claims and monthly revenue reports.
- Responsible for sending 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
- Managed all SNF claims and accompanying reports.
- Verified the accuracy of claim data prior to submission to insurance carriers.
- Reviewed medical records to ensure accuracy of billing information and patient data.
- Verified insurance coverage and identified third-party payers for billing purposes.
- Answered customer inquiries regarding billings, payments, account status.
- Utilized multiple insurance portals (BCBS, UHC, Medicare/Medicaid, etc) to obtain patient information, assist supervisor in delegating tasks.
- Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
- Ensured HIPAA compliance by maintaining confidentiality of all patient information.
Administrative Assistant
Forsyth Janitorial Services
06.2011 - 01.2020
- Organized and maintained filing systems, both paper and electronic.
- Answered incoming calls in a timely manner and directed them appropriately.
- Set up new hire paperwork according to company standards.
- Prepared outgoing mailings using postage meter machine.
- Provided administrative support to multiple departments within the organization.
- Collected data from various sources to create accurate financial statements on a monthly basis.
- Managed employee records including payroll information, attendance tracking, vacation time requests.
- Ordered supplies and maintained an inventory of office equipment.
- Created expense reports, tracked invoices, and processed payments.
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
- Staff Training and Development
- Revenue Cycle Management
- Operations Monitoring
- Electronic Medical Record (EMR) software
- HIPAA Compliance Understanding
- Denial Resolution Techniques
- Organizational abilities
- Strong planning skills
- Insurance Verification
- Claims Processing Proficiency
- Chart Auditing
- Teamwork and Collaboration
- Excellent written communication
- Problem-Solving skills
Accomplishments
- Collaborated with partnering Manager 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 Manager and Billing Director to create our Month End Close Checklist.
- Created all new SOPs and Training Material for department
Certification
- Microsoft Excel Fundamentals
- Introduction to Project Management
References
References available upon request.
Timeline
Medical Billing Manager
UpStream Pharmacy
04.2023 - Current
Medical Billing Specialist/Coordinator
UpStream Pharmacy
04.2022 - Current
Medical Billing Representative
Select Lab Partners
01.2020 - 04.2022
Administrative Assistant
Forsyth Janitorial Services
06.2011 - 01.2020
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
- Microsoft Excel Fundamentals
- Introduction to Project Management
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference
Work Type
Full TimeWork Location
RemoteHybridImportant To Me
Work-life balanceCareer advancementPersonal development programsHealthcare benefitsCompany CultureFlexible work hoursWork from home optionPaid time offPaid sick leave401k matchSoftware
Microsoft PowerPoint
Microsoft Excel
Healthcare EMR systems
EClincialWorks
Languages
English
Native language
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