Senior Medical Biller with comprehensive background in medical billing and claims. Able to efficiently process payments, review accounts, and conduct audits to ensure accuracy. Strong interpersonal skills combined with deep knowledge of coding procedures and insurance policies contribute to effective communication with healthcare providers and insurance companies. Proven ability to improve billing processes for better efficiency and accuracy, leading to improved revenue cycle management.
Overview
21
21
years of professional experience
Work History
Patient Access Representative
Capital Health System
Hopewell, New Jersey
10.2015 - Current
Verified patient information and insurance details for accuracy in electronic health records.
Assisted patients with registration and check-in processes to enhance operational efficiency.
Educated patients on financial responsibilities and payment options to promote transparency.
Handled sensitive information, ensuring strict adherence to confidentiality standards.
Obtained necessary signatures for privacy laws and consent for treatment compliance.
Performed pre-registration functions including demographic verification and authorization collection.
Created new patient accounts in EMR system as required for seamless integration.
Scanned documents into electronic medical records system to maintain comprehensive patient files.
senior medical biller
OrthoNJ/DBA/Princeton Orthopaedic Associates
Princeton, NJ
09.2004 - Current
Reviewed patient accounts for accuracy and submitted insurance claims using medical billing software.
Managed high-volume workload while maintaining attention to detail.
Resolved discrepancies by communicating with healthcare providers and correcting medical records.
Negotiated single case agreements with non-participating insurance companies.
Contacted designated provider representatives regarding underpaid claims, as well as new providers not being linked correctly to the group.
Assited in training junior medical billers sharing expertise and best practices to improve overall performance
Post electronic payments.
Proficient in ICD-10, CPT, and HCPCS codes.
Proficient in billing commercial, Medicare, and Medicaid carriers.
Provided support and guidance to colleagues to maintain a collaborative work environment.
Maintained detailed records of patient interactions and billing documentation.
Delivered exceptional customer service through effective problem-solving strategies.
Engaged customers via phone and in-person to ensure satisfaction.