Seeking new opportunities to thrive in a dynamic and fast-paced organization. Exceptional work ethic, strong organizational abilities, and a keen eye for detail. Passionate about delivering high-quality results and driven to contribute skills and expertise towards company success. Eager to embrace new challenges, continuously motivated to learn and make a valuable impact within the organization.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Medical Billing Manager
Richmond ENT
04.2017 - Current
Communicateffectively and extensively with other departments to resolve claims issues.
Assist patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
Located errors and promptly refiled rejected claims.
Ensure timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
Deposit cash at the bank.
Directly speak with patients about their bills and make payment arrangements if necessary
File claims to workers compensation and auto insurance policies.
Send patients to collections and communicate with collection firm
Balance all money received at the end of the day and month
Attend court when needed for collections accounts
Post payments and collections daily.
Enhance revenue cycle management by overseeing timely and accurate claims submission.
Reduced denied claims through diligent review, correction, and resubmission of errors.
Increased patient satisfaction by addressing billing inquiries promptly and professionally.
Collaborate with providers and staff to ensure accurate coding for billing purposes.
Expedited payment collection by submitting approximately 100 clean claims a day for reimbursement from insurance companies and patients promptly.
Verified insurance eligibility and information to update database.
Ensure compliance with billing guidelines by staying current on relevant regulations, policies, and procedures.
Manage high-volume workload while maintaining exceptional attention to detail for precise data input into the medical billing system.
Post and adjust payments from insurance companies.
Efficiently processed refunds or adjustments for patients when necessary, ensuring accuracy and compliance with company policies.
Developed customized reports for management review, highlighting trends in key performance metrics such as claim denial rates and days outstanding for accounts receivable balances.
Surgical Scheduler Coordinator
Richmond ENT
02.2015 - 04.2017
Demonstrated adaptability by managing unexpected schedule changes or emergencies, ensuring minimal disruption to other scheduled surgeries.
Enhanced patient satisfaction by efficiently scheduling surgeries and pre-operative appointments.
Mitigated risk of miscommunication between departments by proactively sharing updates on surgery schedules within the hospital network.
Collaborated with insurance providers to obtain necessary authorizations for scheduled surgeries, minimizing delays or cancellations due to coverage issues.
Maintained a high level of organization in managing appointment calendars for multiple surgeons simultaneously without compromising accuracy or efficiency.
Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
Front Desk Medical Receptionist
Richmond ENT
06.2011 - 02.2015
Checked patient insurance, demographic, and health history to keep information current.
Helped patients complete necessary medical forms and documentation.
Coordinated patient scheduling, check-in, check-out and payments for billing.
Ensured HIPAA compliance by maintaining strict confidentiality with all patient records and information.
Managed a high volume of incoming calls, addressing inquiries, and providing exceptional customer service to patients.
Handled financial transactions related to copayments or self-pay fees while adhering to company policies regarding payment collection.
Coordinated appointment reminders for patients via phone calls or email notifications, reducing no-show rates.
Increased accuracy in data entry tasks by regularly updating patient demographics and insurance information.
Assisted with insurance verification tasks, expediting the billing process for both patients and providers.
Maintained a well-stocked reception area, creating a welcoming atmosphere for patients upon arrival.
Performed various administrative tasks by filing, copying and faxing documents.
Front Desk Medical Receptionist
HCA Physician Services Group
01.2006 - 04.2011
Coordinated patient scheduling, check-in, check-out and payments for billing.
Checked patient insurance, demographic, and health history to keep information current.
Helped patients complete necessary medical forms and documentation.
Maintained strict confidentiality of patient information, adhering to HIPAA regulations and medical office policies.
Managed high call volumes, directing calls to appropriate departments while maintaining a polite and professional demeanor.
Managed multi-line phone system and pleasantly greeted patients.
Provided compassionate customer service, creating a welcoming atmosphere for patients and their families.
Enhanced patient satisfaction by efficiently managing the front desk operations and addressing inquiries in a timely manner.
Assisted healthcare providers with administrative tasks, enabling them to focus on quality patient care.
Contributed to a positive work environment by collaborating effectively with colleagues.
Transcribed phone messages and relayed to appropriate personnel.
Ensured accurate record-keeping by diligently updating patient information and verifying insurance coverage.