Accomplished medical biller with over 20 years of experience, adept in healthcare systems navigation and delivering exceptional customer service. Proven track record in improving and reducing accounts receivable and reducing turnaround times. Demonstrates strong empathy and problem-solving skills, ensuring patient satisfaction and compliance with HIPAA regulations.
Overview
25
25
years of professional experience
Work History
Patient Access Representative
Capital Health Systems
10.2020 - Current
Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
Senior Medical Biller
Princeton Orthopaedic Associates A Div. Of Ortho N
09.2004 - Current
Collaborated with healthcare providers to obtain necessary documentation for accurate billing.
Conducted regular audits of billing records to identify areas for improvement and ensure compliance with industry standards.
Maintained up-to-date knowledge of coding standards, resulting in fewer errors and improved claim acceptance rates.
Provided exceptional customer service to patients, addressing billing inquiries and resolving discrepancies professionally and efficiently.
Implemented process improvements that led to reduced turnaround time for claims processing and increased cash flow for the organization.
Facilitated communication between healthcare providers and insurance companies, ensuring timely payment for services rendered.
Successfully appealed denied claims by providing thorough documentation supporting the necessity of billed services.
Reduced claim denials by diligently reviewing patient information and verifying insurance coverage.
Managed high-volume workloads while maintaining attention to detail, resulting in increased accuracy and reduced errors in submitted claims.
Assisted in training junior medical billers, sharing expertise and best practices to improve overall team performance.
Resolved complex billing issues through meticulous research, collaboration with colleagues, and effective communication with insurance carriers.
Verified insurance of patients to determine eligibility.
Posted payments and collections on regular basis.
Reviewed patient diagnosis codes to verify accuracy and completeness.
Liaised between patients, insurance companies, and billing office.
Delivered timely and accurate charge submissions.
Direct Support Care
Enable Inc.
01.2015 - 10.2020
Ensured consistent communication with family members, keeping them informed about their loved ones'' well-being and progress.
Increased client independence by teaching essential self-care skills such as grooming, dressing, and toileting.
Promoted mental health by engaging clients in stimulating conversations and activities.
Developed individualized recreational activities based on client interests resulting in increased engagement.
Maintained accurate records of clients'' progress, reporting any changes or concerns to appropriate parties promptly.
Assisted with medication administration, ensuring proper dosages and adherence to physicians'' instructions.
Coordinated transportation services for clients'' appointments, errands, or recreational outings safely and efficiently.
Collaborated closely with fellow caregivers in order maintain consistency among the shifts ensuring optimal support.
Managed complex behaviors effectively using de-escalation techniques and positive reinforcement strategies.
Handled emergencies calmly following established protocols, ensuring client safety and promptly notifying appropriate parties.
Facilitated social interactions for clients, organizing outings and activities that promoted community involvement.
University Medical Center At Princeton
Account Representative
01.1999 - 09.2004
Self-motivated, with a strong sense of personal responsibility.
Excellent communication skills, both verbal and written.
Proven ability to learn quickly and adapt to new situations.
Skilled at working independently and collaboratively in a team environment.
Managed time efficiently in order to complete all tasks within deadlines.
Paid attention to detail while completing assignments.
Organized and detail-oriented with a strong work ethic.
Education
Associate of Arts -
Mercer County Community College
East Windsor, NJ
05.2001 -
Bachelor of Science - Telecommunications
DeVry University
New Brunswick, NJ
05.2001 -
Skills
Strong empathy
Patient Education
Customer Service
Problem-Solving
Team Leadership
Team Collaboration
Multitasking and Organization
Healthcare systems navigation
Payment Processing
Quality Assurance
Information Collection
Registration and Admissions
Timeline
Patient Access Representative
Capital Health Systems
10.2020 - Current
Direct Support Care
Enable Inc.
01.2015 - 10.2020
Senior Medical Biller
Princeton Orthopaedic Associates A Div. Of Ortho N
Transfer Center Dispatcher (Former Bls Supervisor) at Capital Health SystemsTransfer Center Dispatcher (Former Bls Supervisor) at Capital Health Systems