Amy Hortin
Deaconess/Healthcare Resources
Newburgh,IN
9
years of professional experience
Medical Billing & Revenue Cycle Specialist with over 25 years of progressive healthcare revenue cycle experience specializing in physician billing, insurance claims, private pay billing, patient account resolution, and refund processing. Proven ability to resolve complex billing issues, reconcile accounts, maintain HIPAA compliance, and deliver exceptional customer service while ensuring accurate and timely reimbursement.
Work History
Patient Account Representative
2 Years 6 Months- Reviewed patient and insurance credit balance accounts to identify overpayments and refund opportunities.
- Researched account histories to determine the appropriate recipient of insurance and patient refunds.
- Processed high-volume insurance refund requests while maintaining accuracy and compliance with payer regulations.
- Issued patient refunds for overpayments while ensuring account balances were properly reconciled.
- Maintained compliance with HIPAA Compliance, Medicare, Medicaid, commercial insurance regulations, and organizational policies.
Private Pay Biller
2 Years 11 Months- Prepared and processed private pay invoices for durable medical equipment (DME), respiratory supplies, and home medical products.
- Calculated patient financial responsibility based on physician orders, pricing, rental agreements, and company policies.
- Contacted patients to explain billing statements, payment options, account balances, and financial obligations.
- Accepted and processed payments by phone, mail, and in person while maintaining accurate account records.
- Researched and resolved billing discrepancies, payment issues, and customer account concerns in a timely manner.
Insurance Billing Representative
3 Years 2 Months- Prepared, reviewed, and submitted insurance claims for surgical and physician services to commercial, Medicare, Medicaid, and other third-party payers.
- Verified patient insurance eligibility, benefits, and coverage prior to claim submission to ensure billing accuracy.
- Reviewed medical documentation, procedure codes, diagnosis codes, and provider information for complete and accurate claim processing.
- Monitored outstanding insurance claims and followed up with payers to obtain timely reimbursement.
- Investigated and resolved denied, rejected, and underpaid claims by identifying root causes, correcting errors, and submitting appeals or corrected claims.
Education
Associate of Applied Science - Health Claims Examiner
Associate of Science - Business/Accounting
- Health Information Management Coursework
Skills
Medical Billing and Reimbursement
Insurance Claims and Payment Reconciliation
Revenue Cycle Management
Credit Balance Analysis
Patient Account Management
Denial resolution & Claims Follow-up
HIPAA Compliance
Accounts Receivable Management
Personal Information
Title: Medical Billing & Revenue Cycle Specialist
Timeline
Patient Account Representative
Deaconess/Healthcare Resources
09.2023 - 03.2026Read More
Private Pay Biller
Deaconess Home Medical
09.2020 - 08.2023Read More
Insurance Billing Representative
Evansville Surgical Associates
07.2017 - 09.2020Read More
VINCENNES UNIVERSITY
from Health Information Management Coursework
Read More
OLNEY CENTRAL COLLEGE
Associate of Science from Business/Accounting
Read More
INDIANA BUSINESS COLLEGE
Associate of Applied Science from Health Claims Examiner
Read More