Amber Graham
Summary
Exellent Medical Biller with coding and medical terminology knowledge. Polished and hardworking performer with background overseeing accounts and handling records management tasks. Team-oriented person with great decision-making skills.
Overview
11
11
years of professional experience
1
1
Certification
Work History
AR Billing Specialist
National Kidney Partners
07.2022 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Identified and resolved patient billing and payment issues.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Posted and adjusted payments from insurance companies.
- Collected payments and applied to patient accounts.
- Precisely evaluated and verified benefits and eligibility.
Insurance Verification Specialist
Gulfcoast Rheumatology
06.2020 - 07.2022
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Communicated verification and authorization status updates Billing department to facilitate decision-making for patient admissions and insurance coverage.
Solutions Specialist
Fortegra
09.2018 - 06.2020
- Resolved customer issues quickly and efficiently to enhance overall customer satisfaction ratings.
- Worked closely with senior leadership to complete projects and solve complex issues on strict schedules and budgets.
- Enhanced customer satisfaction ratings by resolving issues efficiently.
- Answered customer questions about billing, account issues and upgrade possibilities.
- Improved overall progress through working closely with staff members and streamlining processes.
- Increased productivity by collaborating with management to develop process improvements.
Patient Care Coordinator
American Sleep Medicine
12.2012 - 09.2018
- Acted as main point of contact for patients, doctors and hospital staff by closely reviewing medical charts and maintaining high levels of communication.
- Delivered excellent patient experiences and direct care.
- Maintained confidentiality of patient data and condition to safeguard health information.
- Established rapport and relationships with patients and external partners to cross-train and support medical staff.
- Educated patients by explaining preparation instructions for upcoming procedures and tests.
Education
Associate of Arts - Animal Sciences
Sante Fe College of Gainesville
Gainesville05.2025
Skills
- CPT Code Modifiers
- Diagnostic Codes
- Data Entry
- Medicare and Medicaid Processes
- Accounts Payable and Accounts Receivable
- Billing Codes
- Medical Billing Technology
- Insurance Authorizations
- Referral Coordination
- Prior Authorization Processing
- Insurance Plan Verification
- Insurance Terminology
Certification
- Licensed (2-40) Health Insurance Agent
Timeline
AR Billing Specialist
National Kidney Partners
07.2022 - Current
Insurance Verification Specialist
Gulfcoast Rheumatology
06.2020 - 07.2022
Solutions Specialist
Fortegra
09.2018 - 06.2020
Patient Care Coordinator
American Sleep Medicine
12.2012 - 09.2018
Associate of Arts - Animal Sciences
Sante Fe College of Gainesville
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