Amy Boyd
Faribault,MN
Summary
Effective Claims Analyst with strong background building rapport with providers and insurance companies to discuss claim status or claim denials. Driven performer equipped to handle multiple administrative tasks effectively. Exemplary worker with highly investigative skills when processing claims.
Overview
6
6
years of professional experience
5
5
years of post-secondary education
Work History
Claims Analyst
Aspirion
11.2021 - Current
- Maintain 1,000+ accounts by ensuring billing and coding is completed in an accurate and timely manner
- Including using IVR to verify eligibility and claim information
- Accurately coding benefits for multiple lines of business using multiple programs to ensure proper coverage for groups, subgroups, and subscribers
- Professionally processed 150+ calls per day, entered essential information and filed reports to maximize information input and exceed daily quotas
- Customer Assistance and follow up by working with departments to assist customers and diligently completed all assigned tasks and working overtime if needed
- Provide a member/patient centered experience each time
- Authorized to work in the US for any employer
- Work, Review all billing and claim discrepancies and proactively following up to ensure timely processing
- Manage claim submission process from beginning to end
- Coordinate with team members on daily projects
- Possess knowledge of Explanation of Benefits, Clearinghouse, Insurance web portals, and CPT guidelines for each payer
- Understand and communicate insurance billing & patient responsibility through notes on timeline to ensure clarity when questions arise
- Perform any and all additional duties as requested.
Billing Specialist
Open Door Health Center
Mankato, MN
06.2019 - 06.2021
- Complete insurance changes, bill payments, refunds and adjustments as needed
- Manage approximately 1,000 accounts by maintaining accurate billing and coding
- Following up on payments and adjustments and filing appeals
- Work aging claims to ensure payments in a timely manner
- Provide outstanding customer service to patients regarding their financial accounts
- Enter payments and take backs in a timely manner using Dentrix and Allscripts
- Reconcile deposits
- Work as team player to ensure effective communication regarding all aspects.
Legal Assistant
KGPCo
Faribault, MN
01.2019 - 05.2019
- Distribute and collect required set-up and contract documents
- Schedule meetings and prepare meeting agendas
- Manage department paper and electronic mail and prepare documents for mailing
- Scanning, saving and filing of legal documents
- Review and complete credit applications and other questionnaires
- Verify and make requested system changes
- Support facility set-up and closing
- Assist with vehicle titling and fleet management
- Organize and track Certificates of Insurance to ensure compliance.
Clinic Biller
Patient Financial Services
Northfield, MN
12.2017 - 12.2018
- Manage approximately 1,000 accounts by maintaining accurate billing and coding
- Including following up on payments and adjustments and filing appeals
- Review UB and 1500 claim forms daily to ensure claims are clean
- Complete insurance changes, bill payments, refunds and adjustments as needed
- Create Worker's compensation claims and episodes in Meditech
- Once worker's compensation claims are scrubbed clean sending them via mail or electronically with medical records attached to the correct worker's compensation company
- Assist patients in questions regarding billing and process payments as needed.
Customer Service Representative
Blue Cross and Blue Shield
Eagan, MN
06.2016 - 12.2016
- Answer calls and explain medical terminology to customers -provide accurate and complete information for claims and billing and medical benefits -Route pieces to correct area for further updating as needed
- Complete verification of members accurately for each and every phone call
- Provide call backs as needed to ensure outstanding customer service.
Benefit Coding Coordinator I
Wellpoint Inc, aka DeCare Dental
Eagan, MN
10.2012 - 01.2014
- Input Customers, groups, and Subgroups into the computer through GSMs
- Complete benefit changes, billing information and ID card information as necessary
- Enter dental procedure codes and their coverage requested -Answer and make phone calls -Work as a team player -File paperwork as neatly and proficiently using office equipment.
Education
Bachelor of Science - Psychology
Ashworth College
Norcross, GA 9 2019 - Current
Medical Billing And Coding Diploma - Medical Billing and Coding
Penn Foster College
Scottsdale, AZ 1 2017 - 8 2019
High School Diploma - General Education
Apple Valley Senior High School
01.1998 - 09.2002
Skills
Medical Billing
EMR Systems
Workers' CompensationInsurance VerificationMedical TerminologyMedicare and Medicaid
ICD-10Medical collectionAccounts receivableCPT codingMulti-line phone systemsBehavioral healthAccountingHIPAAResearchAnalysis skillsManaged careMedical office experienceDocumentation reviewAnatomy knowledgeProofreadingWindowsHCPCSEDITypingMicrosoft AccessProcess improvementComputer skillsNegotiationProject managementLeadershipCustomer serviceClaims
Skilled in all Microsoft Software
Timeline
Claims Analyst
Aspirion
11.2021 - Current
Billing Specialist
Open Door Health Center
06.2019 - 06.2021
Legal Assistant
KGPCo
01.2019 - 05.2019
Clinic Biller
Patient Financial Services
12.2017 - 12.2018
Customer Service Representative
Blue Cross and Blue Shield
06.2016 - 12.2016
Benefit Coding Coordinator I
Wellpoint Inc, aka DeCare Dental
10.2012 - 01.2014
High School Diploma - General Education
Apple Valley Senior High School
01.1998 - 09.2002
Bachelor of Science - Psychology
Ashworth College
9 2019 - Current
Medical Billing And Coding Diploma - Medical Billing and Coding
Penn Foster College
1 2017 - 8 2019