Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
16
16
years of professional experience
Work History
Medical Biller
San Luis Ambulance Services
San Luis Obispo
06.2023 - 05.2024
Verified patient insurance benefits to expedite claim approvals and improve cash flow.
Submitted claims and followed up on denials to recover unpaid balances and enhance revenue.
Collected patient payments and resolved billing inquiries to enhance revenue collection and provide quality patient satisfaction.
Maintained comprehensive records of patient accounts, ensuring compliance with regulations and facilitating timely reimbursements.
Processed ambulance transport records, ensuring accurate billing and minimizing claim errors.
Billing Manager
Kenneth P. Tway, MD, FACC
08.2020 - 08.2021
Managed insurance claims and data analysis, followed up on claims denials using Athena Health billing platform to ensure timely resolution.
Prepared monthly and annual revenue reports for provider, analyzing trends to identify opportunities for patient growth through adjusted office and surgery schedules.
Obtained prior authorizations for in-office visits and tests and outpatient surgeries.
Coordinated surgery schedules with hospitals and discussed pre-operative instructions with patients to ensure smooth processes.
Educated front office and clinical staff on health insurance policies and benefits.
Front Office Supervisor, Collections, Charge Posting
Central Coast Orthopedic Medical Group
06.2008 - 12.2018
Managed patient check-in and check-out process to ensure smooth appointment flow.
Facilitated collection of copayments for office consultations and follow-up appointments to support revenue cycle.
Collected surgery deductibles at pre-op appointments.
Trained front office staff on policies, procedures, and protocols.
Posted office visit and orthopedic supply charges, primarily ICD-10 and CPT coding while utilizing proper modifiers.
Accessed electronic health records to obtain diagnosis for missing codes.
Pre-collected surgery deductibles, copayments, and coinsurances.
Developed patient letters detailing surgery cost breakdown and fee schedules based on insurance rates.
Engaged with patients on outstanding balances to establish effective payment plans.
Education
Bachelor of Science - Business Management
University of Phoenix
Tempe, AZ
02-2022
Some College (No Degree) - General Studies
Colorado State Univsersity - Global Campus
01-2019
Skills
Insurance verification
Claims submissions
Revenue cycle management
Billing team collaboration
Accounts receivable
Collections
Patient coordination
Data entry
Microsoft Word
Excel
Outlook
Customer relationship management
Regulatory compliance
Timeline
Medical Biller
San Luis Ambulance Services
06.2023 - 05.2024
Billing Manager
Kenneth P. Tway, MD, FACC
08.2020 - 08.2021
Front Office Supervisor, Collections, Charge Posting
Medical Biller at 61st St Service Corp Medical Billing for Columbia UniversityMedical Biller at 61st St Service Corp Medical Billing for Columbia University