Accomplished Medical Billing Assistant at Spoon River Home Health, adept in ICD-10 and fostering teamwork. Streamlined billing processes, enhancing revenue collection rates significantly. Proven expertise in HIPAA compliance and multitasking, with a track record of improving patient and insurance company relations through effective communication and organizational skills.
Overview
11
11
years of professional experience
Work History
Medical Billing Assistant
Spoon River Home Health
Farmington, IL
05.2023 - Current
Contributed to a well-organized office environment through meticulous record-keeping and file management practices.
Maintained professional demeanor while communicating with patients or insurance companies to resolve payment issues, fostering positive relationships.
Streamlined billing processes, implementing efficient methods for tracking payments and managing accounts receivable.
Optimized workflow efficiency within the department using strong organizational skills when prioritizing tasks under tight deadlines.
Assured accurate charge capture by working closely with clinical staff to verify services provided before submitting claims.
Minimized errors in claim submissions through thorough pre-audit reviews, ensuring compliance with established protocols.
Safeguarded patient privacy, adhering to strict HIPAA regulations during all aspects of the billing process.
Enhanced revenue collection rates with timely follow-ups on outstanding claims and appeals.
Reduced billing discrepancies by diligently reviewing medical coding and ensuring accuracy in data entry.
Communicated with insurance providers to resolve denied claims and resubmitted.
Verified insurance of patients to determine eligibility.
Posted payments and collections on regular basis.
Collected payments and applied to patient accounts.
Filed and updated patient information and medical records.
Reviewed patient records, identified medical codes, and created invoices for billing purposes.
Utilized various software programs to process customer payments.
Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
Student Success Coordinator
Farmington Central School District #265
Farmington, IL
08.2021 - 05.2023
Conducted comprehensive analysis of student data to inform targeted interventions and program improvements.
Enhanced student retention by implementing personalized success plans and progress monitoring.
Facilitated collaboration between academic departments in order to better serve the needs of interdisciplinary learners.
Improved communication between students, parents, and faculty by organizing regular meetings and progress reports.
Evaluated available resources and made recommendations on additional tools or materials needed for improved student outcomes.
Coordinated tutoring services and academic workshops, resulting in increased student utilization of resources.
Implemented peer mentoring programs that connected struggling students with successful peers as additional support networks.
Promoted a culture of inclusivity within the learning community through diversity awareness programming and cultural competency training initiatives.
Established early warning systems to identify at-risk students, allowing for timely intervention and support measures.
Provided one-on-one coaching sessions focused on goal-setting, time management, study skills, and stress management techniques.
Coordinated with other departments to ensure seamless delivery of support services for students facing challenges or barriers to success.
Developed assessment tools used to measure the effectiveness of implemented support services for continual improvement purposes.
Implemented confidential record-keeping systems designed to protect student privacy while still allowing for effective communication among support teams.
Collaborated with faculty members to develop strategies for improving student engagement and academic performance.
Coordinated and supervised academic advising activities.
Developed and implemented student success initiatives to recognize and encourage achievement.
Service Manager
Texas Roadhouse Restaurant
East Peoria, IL
03.2013 - 08.2021
Resolved customer complaints in professional and timely manner.
Met with customers to discuss service needs and offer available solutions.
Resolved escalated customer complaints professionally, turning potentially negative experiences into opportunities for continued patronage.
Hired, trained and supervised team of service staff members to meet business goals.
Analyzed service reports to identify areas of improvement.
Monitored inventory levels and placed orders to replenish stock.
Maintained a safe working environment by enforcing strict safety protocols and providing ongoing staff training on proper equipment use.
Developed and maintained positive relationships with customers to build rapport and trust.
Maintained team productivity and quality of service by establishing and maintaining clear benchmarks.
Conducted regular performance evaluations for staff members, offering constructive feedback and facilitating professional development opportunities.
Increased repeat business by fostering strong client relationships through personalized service and frequent follow-ups to ensure satisfaction.
Monitored service staff performance and provided feedback for improvement.
Implemented inventory management systems to reduce costs and increase efficiency in the service department.
Enhanced team morale through regular recognition of exceptional performance and organizing team-building events.
Developed strong relationships with vendors and suppliers, resulting in improved product support and better pricing for customers.
Maintained professional demeanor by staying calm when addressing unhappy or angry customers.
Recruited, interviewed and hired employees and implemented mentoring program to promote positive feedback and engagement.
Opened and closed location and monitored shift changes to uphold successful operations strategies and maximize business success.
Improved staffing during busy periods by creating employee schedules and monitoring call-outs.
Education
Associate Degree In Nursing - Nursing
Clark State Community College
Springfield, OH
Certification - Medical Coding & Billing
Spoon River College
Canton, IL
06.2022
Skills
ICD-10 Proficiency
CPT Knowledge
HIPAA Compliance
Claim submission
Insurance Verification
Denial Management
Patient Billing
Collections Management
Payment posting
Teamwork and Collaboration
Medicaid and Medicare Knowledge
Electronic Claims
Billing and Collection Procedures
Multitasking and Organization
CMS-1500 Billing Forms
Worker's Compensation Knowledge
Medical Terminology
Electronic Health Record Software
Commercial and Private Insurance
Microsoft Office
Additional Information
Performed all insurance eligibility checks and obtained authorizations for all new clients.
Maintain calendar to ensure all reauthorizations are obtained in a timely manner.