Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information. Reliable and competent Medical Billing professional with exceptional data entry and customer service skills.
Overview
2
2
years of professional experience
Work History
Medical Billing Specialist
Arlington Nephrology
03.2021 - 05.2023
Communicated with insurance providers to resolve denied claims and resubmitted.
Located errors and promptly refiled rejected claims.
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.
Collected payments and applied to patient accounts.
Posted and adjusted payments from insurance companies.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Precisely completed appropriate claims paperwork, documentation and system entry.
Filed and updated patient information and medical records.
Prepared billing correspondence and maintained database to organize billing information.
Liaised between patients, insurance companies, and billing office.
Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
Claim reconciliation and payment posting
Medical Billing and Collections Specialist
South Louisiana Medical Associates (Remote)
02.2021 - 03.2021
Compiled and tracked outstanding balances owed to medical facilities.
Processed billing calls and answered questions from patients and third-party carriers.
Corrected, completed and processed claims for multiple payer codes.
Processed online and paper appeal submissions and refund requests.
Assisted in reconciling deposit and patient collections.
Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
Processed payment via telephone and in person with focus on accuracy and efficiency.
Audited and corrected billing and posting documents for accuracy.
Handled account payments and provided information regarding outstanding balances.
Processed online and paper appeal submissions and refund requests
Corrected, completed and processed claims for multiple payer codes
Processed billing calls and answered questions from patients and third-party carriers
Education
High School Diploma -
James Bowie High School
Arlington, TX
06.2018
Skills
Claim Verifications
ICD-10
ICD-9
HIPAA Compliance
Healthcare Terminology
Payments Posting
Claims Review
Billing Statement Management
Medical Billing Technology
Billing Document Creation
Insurance Authorizations
Insurance Collections
Additional Information
Proficient in EClinical Works, NexGen, Practice Fusion
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