Amanda Stewart
Fayetteville,NC
Summary
Dynamic individual with hands-on experience in the Medical Billing field and talent for navigating challenges. Brings strong problem-solving skills and proactive approach to new tasks. Known for adaptability, creativity, and results-oriented mindset. Committed to making meaningful contributions and advancing organizational goals.
Overview
7
7
years of professional experience
Work History
AR Follow up Specialist/ Billing Specialists
Accanto Health
04.2024 - Current
- Manage approximately 1500-2000 claims each month for follow up/denials
- Identified patterns in payer denials, implementing corrective actions to prevent future occurrences.
- Served as a subject matter expert on claim denials, providing guidance and support to colleagues across departments.
- Reduced denial rates with comprehensive documentation and accurate coding practices.
- Continuously optimized appeal templates based on feedback from payers, leading to more successful resolutions of disputed claims.
- Expedited claims resolution by effectively collaborating with providers and payers to obtain necessary documentation or missing information.
- Collaborated with billing team to address issues, resulting in fewer denials and increased revenue.
- Maintained up-to-date knowledge on payer guidelines and regulations, ensuring compliant claims submissions.
Billing Coordinator/Customer Service Call Center Representative
Lifestance Health
09.2023 - 03.2024
- Successfully handled 60 plus calls a day with resolving billing inquiries
- Answered telephone and in person inquiries with friendly demeanor and full knowledge of billing department processes.
- Completed appeals of denied claims on patient bills.
- Established clear communication channels between departments to promote seamless coordination in all aspects of the billing process.
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- Reduced billing errors through consistent review and reconciliation of account discrepancies.
- Referred past due payments to collections department.
- Researched and resolved billing discrepancies to enable accurate billing.
Medical Billing Specialist
Fayetteville Womens Care
12.2021 - 06.2023
- Successfully multitasked AR follow up, Claims, Insurance verification, meeting with OBs for their insurance paperwork, and answering phone calls/portal messages from patients.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Precisely evaluated and verified benefits and eligibility.
- Filed and updated patient information and medical records.
- Monitored changes in payer requirements, adjusting billing practices accordingly to minimize disruptions in the revenue cycle.
- Educated colleagues on best practices in medical billing, providing ongoing training sessions as needed.
Medical Billing Specialist
Current Medical Services
01.2018 - 12.2021
- Managed Billing for three practices at once, working their denials, submitting claims, and providing their patients customer service with billing inquiries over the phone.
- Located errors and promptly refiled rejected claims.
- Identified and resolved patient billing and payment issues.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Collected payments and applied to patient accounts.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Liaised between patients, insurance companies, and billing office.
- Served as a subject matter expert on medical billing matters, providing guidance to colleagues on complex cases or unique situations.
- Efficiently processed refunds or adjustments for patients when necessary, ensuring accuracy and compliance with company policies.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Developed customized reports for management review, highlighting trends in key performance metrics such as claim denial rates and days outstanding for accounts receivable balances.
Education
Career Diploma - Private Investigator
Penn Foster Career School
Scranton, PA01-2025
Bachelor of Arts - Criminal Justice
University of North Carolina Pembroke
Pembroke, NC12-2024
Skills
- CRM software
- HIPAA compliance
- Payment posting
- Claim submission
- Insurance verification
- CPT knowledge
- Medicare and medicaid process
- Medical terminology
- Claims review
- Billing and collection procedures
- Insurance claims processing
- Customer service
- Teamwork and collaboration
- CMS-1500 billing forms
- Electronic claims
Timeline
AR Follow up Specialist/ Billing Specialists
Accanto Health
04.2024 - Current
Billing Coordinator/Customer Service Call Center Representative
Lifestance Health
09.2023 - 03.2024
Medical Billing Specialist
Fayetteville Womens Care
12.2021 - 06.2023
Medical Billing Specialist
Current Medical Services
01.2018 - 12.2021
Career Diploma - Private Investigator
Penn Foster Career School
Bachelor of Arts - Criminal Justice
University of North Carolina Pembroke
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