Anissa Carder
WILDWOOD,FL
Summary
Dedicated and and experienced as a highly skilled Medical Billing Specialist with over 19 years of experience with charge entry , payment posting , accounts receivable , demographics, and eligibility.
Managed multiple specialties including optometry, specialized optometry providers, DME oxygen supplier, and physical medicine.
Overview
20
20
years of professional experience
Work History
Medical Billing Specialist
Medical Revenue Associates
12.2016 - 02.2026
- * Entry, review and audit charges for the above specialties
- Averaging 875 entries per month
- * Manual and auto-post of payment batches all reconciled
- Averaging $ 180K per month
- * Denial management including eligibility , appeals, reconsiderations and phone calls to carriers
- * Research and educate Healthcare staff with new insurances and new procedures
- * Daily communication and collaboration with client staff including reports
- * Maintained an A/R less than 3% across all clients with diligent follow up and resolutions
- * Communicated daily with patient statement and billing questions
Medical Billing Specialist
The Feldman Group
03.2006 - 11.2016
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Posted and adjusted payments from insurance companies.
- Located errors and promptly refiled rejected claims.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Posted payments and collections on regular basis.
- Adhered to established standards to safeguard patients' health information.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Collected payments and applied to patient accounts.
- Filed and updated patient information and medical records.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Liaised between patients, insurance companies, and billing office.
- Identified and resolved patient billing and payment issues.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
Education
Undergraduate - Medical Assisatant
Everest Institute
Silver Spring, MD01-2006
Skills
- [Software] use Sequel Med Practice management, Availity, Zelis , Payspan, Navinet, Microsoft word, Echo, and RealMed Electronic Medical Claims
- Bill payment
- Payment posting
- HIPAA compliance
- Patient billing
- Insurance verification
- Claim submission
- Medicare and medicaid process
- Claims review
- Information requests
- Balance reconciliation
- Submission of medical claims
- Medical billing technology
- Claims processing
- CPT code modifiers
- Critical thinking
- Information inputting
- Accounts receivable
- Account follow-up
- Medical terminology
- Customer service
- Medical claims submission
- ICD-10
- Claim review
- Commercial and private insurance
- Accounts receivable management
- Insurance billing
- Insurance claims processing
- Teamwork and collaboration
- Billing codes
- Multitasking and organization
- Verbal and written communication
- Quality-oriented team player
Timeline
Medical Billing Specialist
Medical Revenue Associates
12.2016 - 02.2026
Medical Billing Specialist
The Feldman Group
03.2006 - 11.2016
Undergraduate - Medical Assisatant
Everest Institute