Anitra Robinson
Waco,TX
Summary
Organized medical biller with a several-year career performing difficult multitasking and claims-processing tasks. Works quickly with insurance companies to resolve problematic disputes and handle patient inquiries. Brings can-do attitude to collaborating with medical professionals, insurance providers and clients to handle invoicing within high-traffic office environment.
Overview
26
26
years of professional experience
Work History
Insurance Specialist/Medical Records Specialist/Front Desk Receptionist
Waco Cardiology Cath Lab
Waco, TX
05.2020 - Current
- Verified insurance authorizations with payers via telephone or web-based systems.
- Processed prior authorization requests in accordance with departmental guidelines.
- Created spreadsheets utilizing Microsoft Excel for tracking authorization status updates from payers.
- Participated in meetings with staff members from other departments such as billing and coding teams to provide clarification on policies related to authorizations.
- Reviewed authorization requests for accuracy and completeness.
- Analyzed denials received from third party payers to identify trends in denials and develop proactive measures for resolution.
- Prepared appeal letters on behalf of clients when necessary to resolve disputes with insurers.
- Performed data entry into electronic health record systems.
- Adhered to HIPAA guidelines when handling protected health information.
- Processed requests for copies of patient medical files within designated timeframes.
- Maintained accurate documentation of all activities related to medical records.
- Processed payments from customers including cash, checks, debit and credit cards, gift cards.
- Performed administrative tasks such as filing documents, preparing reports, and updating databases.
- Processed payments, reconciled accounts receivable reports and generated invoices for services rendered.
- Checked-in patients when they arrived at the front desk; obtained necessary paperwork from them prior to check-in process.
- Prepared and maintained accurate medical charts for each patient visit.
Coding Coordinator
R1 Rcm
Waco, TX
01.2016 - 03.2019
- Monitored changes in reimbursement policies affecting medical coding activities.
- Reviewed and processed appeals on denied claims using knowledge of medical coding systems and regulations.
- Participated in continuing education programs related to medical coding practices.
- Collaborated with other departments to ensure accuracy of medical coding.
- Monitored trends in medical coding practices and implemented changes as needed.
- Assisted with medical coding when needed to ensure accurate billing practices.
- Analyzed patient records, insurance information, and medical coding data to ensure proper reimbursement from insurance companies.
- Verified accuracy of diagnostic codes assigned by providers through ICD-10-CM coding conventions and CPT coding guidelines.
Medical Billing Specialist- Sr. Biller
Providence Healthcare Network
Waco, TX
01.2002 - 01.2016
- Provided technical assistance to office personnel regarding billing inquiries or problems encountered during daily operations.
- Participated in regular meetings with senior management teams regarding financial performance metrics.
- Trained other staff members in medical billing processes and procedures.
- Processed medical claims accurately and efficiently using billing software.
- Analyzed medical claims for accuracy, completeness, and compliance with company policies and procedures.
- Worked closely with department managers to review denials and underpayments received from insurance carriers due to incorrect coding or insufficient documentation.
- Processed payments, refunds, credits and other financial transactions accurately and efficiently.
- Provided exceptional customer service to all patients and visitors.
Patient Service Representative
Hillcrest Hospital
Waco, TX
01.1998 - 01.2002
- Assisted patients with payment plans or other payment arrangements as needed.
- Responded to inquiries from patients regarding their bills and payments promptly.
- Reviewed and verified invoices for accuracy and completeness.
- Assessed patient knowledge level prior to providing instruction in order to customize teaching sessions accordingly.
- Conducted individual consultations with patients, families, caregivers, and community partners to provide health information and resources.
Education
Certificate of Course Completion - Medical Coding
Ohana HealthCare School of Medical Coding
Orlando, FL08-2017
Some College (No Degree) - RHIT
McLennan Community College
Waco, TXSkills
- Regulatory compliance understanding
- Reporting abilities
- Account management expertise
- Documentation abilities
- Written and oral communication skills
- Microsoft Office
- Teamwork and Collaboration
- Analytical Thinking
- Organizational Skills
- Medicare and Medicaid Proficiency
References
References available upon request.
Timeline
Insurance Specialist/Medical Records Specialist/Front Desk Receptionist
Waco Cardiology Cath Lab
05.2020 - Current
Coding Coordinator
R1 Rcm
01.2016 - 03.2019
Medical Billing Specialist- Sr. Biller
Providence Healthcare Network
01.2002 - 01.2016
Patient Service Representative
Hillcrest Hospital
01.1998 - 01.2002
Certificate of Course Completion - Medical Coding
Ohana HealthCare School of Medical Coding
Some College (No Degree) - RHIT
McLennan Community College
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