Amanda Baseflug
Tomball,United States
Summary
Detail-oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives.
Overview
19
19
years of professional experience
Work History
Occupational Health Coordinator
NextCare Urgent Care
11.2012 - 03.2025
- Handle all Worker Comp claims and Contact Services for all Houston area clinics while also supporting other Texas areas when needed.
- Process referrals and keeping patients and insurance updated on status throughout claim process along with collecting status and records from specialist.
- Developed strong relationships with external partners including healthcare providers, insurance carriers, and regulatory agencies, streamlining processes and ensuring compliance.
- Delivered informative presentations on occupational health topics to provide continuing support during monthly meetings or training sessions.
- Served as a liaison between employees, management, and healthcare providers, facilitating effective communication regarding occupational health matters.
- Maintained detailed records of patient medical information, ensuring confidentiality and compliance with privacy regulations.
- Patient Services Specialist (11/12-09/14)
- Responsible for training new front desk personnel. Checking in patients, scanning, process claims, answer phone calls, entering data, and verifying insurance information, collect copays and deductibles, get patients charts ready to be seen, and help as a backup.
- Front desk schedule, make bank deposits and ordering supplies.
Billing and Collections Specialist
Texas Urgent Care (Acquired by NextCare Urgent Care)
02.2010 - 11.2012
- Billing and collections, insurance aging reports, appeals, verify billing is in good standing prior to sending to clearinghouse.
- Set up all worker’s comp accounts. Validating patient is worker’s comp, enter employment and insurance information in system. Bill insurance/employer. Continue to follow up for payment.
- Daily discharge and check out patients. Handle patient balances, call insurance companies with claim status, send statements and collect past due balances.
- Post all electronic and paper payments, balance at the end of every business day.
- Prepared detailed reports on account activity for management review, identifying areas for improvement or concern.
- Assisted in audit preparation, providing necessary documentation for thorough review of financial activities.
Regulatory Analyst
Southwestern Energy
09.2006 - 07.2008
- Processed plats and permits for wells to ensure the start of drilling, obtained approval for wells to be turned on and send in completion packages which included all the information for the specific well, such as the drilling and completion stages.
- Complete an as-drilled plat to show exactly where the perforations were done on a well.
- Interacted with personnel on a day-to-day basis and managed work in a timely manner.
- Production: Jan ’08 – July ’08
- Updating and Allocating Production; Entered COWS (Change of Well Status) Generated/Validated Weekly Report
- Monitored/ Entered Production rates daily; Configured New Well, add daily records, entered first production/sales date in the Production Module.
Education
Coding and Billing Diploma - Medical Insurance
Westwood College
01.2009
Skills
- HIPAA compliance expertise
- Effective communication
- Medical claims processing
- Strong organizational abilities
- Client support
- Experience with NextGen systems
- Proficient in Microsoft Office
- Team development and engagement
- Management of workers' compensation claims
Timeline
Occupational Health Coordinator
NextCare Urgent Care
11.2012 - 03.2025
Billing and Collections Specialist
Texas Urgent Care (Acquired by NextCare Urgent Care)
02.2010 - 11.2012
Regulatory Analyst
Southwestern Energy
09.2006 - 07.2008
Coding and Billing Diploma - Medical Insurance
Westwood College
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