Amanda Stewart
Fayetteville,NC
Summary
Driven Billing Specialist collects, posts and manages account payments. Proven success building relationships and maintaining optimal billing efficiency. Excellent organizational and problem-solving skills with superior client service acumen.
Overview
7
7
years of professional experience
Work History
Medial Billing Specialist Coordinator
Lifestance health
Fayetteville, NC
09.2023 - Current
- Reviewed engine assigned codes and modifiers to update and verify accuracy.
- Accurately coded diagnostics and prepared billing statements for patients.
- Precisely completed appropriate paperwork and system entry regarding claims.
- Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment.
- Provided customer service support to patients who had questions about their bills or payments due.
- Reviewed and verified benefits and eligibility with speed and precision.
- Answered customer questions to maintain high satisfaction levels.
- Demonstrated analytical and problem-solving skill by addressing barriers to receiving and validating accurate HCC information.
- Input statement information, reconciled accounts and resolved discrepancies.
- Processed invoice payments and recorded information in account database.
- Resolved discrepancies between insurance companies and patients regarding payment of bills.
- Contacted patients for unpaid claims for HMO, PPO and private accounts and performed friendly follow-ups to ensure proper payments were made according to contracts.
- Charged expenses to accounts and cost centers by analyzing invoice and expense reports.
Medical Billing Specialist
Fayetteville women's care
Fayetteville, NC
12.2021 - 06.2023
- Conducted research on insurance policies, procedures, and regulations to ensure compliance with all applicable laws.
- Expedited payments by verifying accuracy and currency of vendor information.
- Adhered to HIPAA regulations when handling confidential patient information.
- Prepared billing statements for patients, ensuring correct diagnostic coding.
- Participated in workshops, seminars, and training classes to gain stronger education in industry updates and federal regulations.
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
- Applied HIPAA privacy and security regulations while handling patient information.
- Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
- Checked claims coding for accuracy with ICD-10 standards.
- Reviewed claims for coding accuracy.
- Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
- Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
- Leveraged EMR software to post payments received for medical services.
- Created and processed claims to third-party payers using specific coding guidelines.
- Meticulously tracked and resolved underpayments.
- Assisted with the reconciliation of accounts receivable ledgers at month-end close process.
- Organized information for past-due accounts and transferred to collection agency.
- Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
- Submitted claims to insurance companies.
Medical Billing Specialist
Current Medical Services
Sylva, NC
01.2018 - 12.2021
- Conducted research on insurance policies, procedures, and regulations to ensure compliance with all applicable laws.
- Adhered to HIPAA regulations when handling confidential patient information.
- Expedited payments by verifying accuracy and currency of vendor information.
- Prepared billing statements for patients, ensuring correct diagnostic coding.
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
- Maintained billing software by updating rate change, cash spreadsheets and current collection reports.
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
- Checked claims coding for accuracy with ICD-10 standards.
- Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
- Reviewed claims for coding accuracy.
- Completed efficient drop and bulk filing to maintain well-organized and easily accessed systems
- Interpreted medical terminology and pharmacological information to translate information into coding system.
- Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
- Reconciled codes against services rendered.
Sales Associate
Coach Outlet Store
Asheville, NC
02.2021 - 05.2021
- Reviewed files, recordings and other documents to obtain information to respond to requests.
- Completed daily recovery tasks to keep areas clean and neat for maximum productivity.
- Greeted customers to determine wants or needs.
- Bagged or packaged purchases and wrapped gifts.
- Arranged new merchandise with signage and appealing displays to encourage customer sales and move overstock items.
- Unboxed new merchandise and restocked shelves in appealing and organized arrangements to promote items.
- Provided accurate information about products, prices and services.
- Analyzed customer feedback data to recommend improvements in service quality.
- Performed cashier duties such as accepting payments, issuing receipts and counting money back change.
- Built and maintained relationships with peers and upper management to drive team success.
- Opened and closed cash registers by counting money, separating charge slips and balancing drawers.
- Organized stockroom shelves according to size, color or style.
- Collaborated with management teams to develop innovative marketing strategies.
Call Center Agent
LifestanceHarrah's Cherokee Casino and Resort
Cherokee, NC
09.2017 - 02.2018
- Supported sales team members to drive growth and development.
- Managed customer expectations by clarifying needs, identifying options and recommending products and services.
- Enhanced productivity and customer service levels by anticipating needs and delivering outstanding support.
- Met or exceeded call speed, accuracy and volume benchmarks on consistent basis.
- Provided accurate information on products and services to customers.
- Identified customer needs by asking probing questions and actively listening to responses.
- Prevented key account losses by researching discrepancies and correcting problems.
- Pursued networking opportunities to advance client relations skills and enhance customer satisfaction.
Deli Associate
Walmart
Waynesville, NC
08.2016 - 09.2017
- Performed daily opening and closing duties such as cleaning up spills, sanitizing surfaces.
- Stored food in designated areas following wrapping, dating, food safety and rotation procedures.
- Organized storage areas to maximize efficiency while keeping products safe from contamination.
- Organized ingredients and restocked supplies to prepare for busy periods.
- Maintained high standards of customer service during high-volume work shifts and fast-paced operations.
- Closely adhered to food safety and sanitation procedures established by company and regulatory agencies.
- Completed orders by slicing, weighing, packaging and pricing meats and cheeses.
- Resolved customer complaints promptly in a courteous manner in order to ensure customer satisfaction.
Education
Associate of Applied Science - Criminal Justice
Fayetteville Technical Community College
Fayetteville, NC05-2016
High School Diploma
Cape Fear High School
Fayetteville, NC06-2014
Skills
- Invoice Processing
- Claims Processing
- Medical Billing and Collections
- Payment Posting
- Research and Due Diligence
- Insurance Verification
- Procedure Development
- Accounts Receivable Expertise
- Audit Procedures
- Customer Engagement
- Invoicing Proficiency
- Dispute Negotiation
- Accounting Support
- Customer Service
- Word Processing / microsoft programs
- Billing and Invoicing
- Athena, eclinical, AMD advance knowledgeable
Timeline
Medial Billing Specialist Coordinator
Lifestance health
09.2023 - Current
Medical Billing Specialist
Fayetteville women's care
12.2021 - 06.2023
Sales Associate
Coach Outlet Store
02.2021 - 05.2021
Medical Billing Specialist
Current Medical Services
01.2018 - 12.2021
Call Center Agent
LifestanceHarrah's Cherokee Casino and Resort
09.2017 - 02.2018
Deli Associate
Walmart
08.2016 - 09.2017
Associate of Applied Science - Criminal Justice
Fayetteville Technical Community College
High School Diploma
Cape Fear High School