I am a very hard working, goal driven individual who is very easy to learn dedicated and extremely patient. I pride myself of my work so I pay close attention to details. I work really well either alone or with others also a team player
Overview
9
9
years of professional experience
Work History
Billing Specialist
Blue MedConsultants
02.2022 - Current
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.
Precisely evaluated and verified benefits and eligibility.
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.
Precisely completed appropriate claims paperwork, documentation and system entry.
Delivered timely and accurate charge submissions.
Collected payments and applied to patient accounts.
Communicated with insurance providers to resolve denied claims and resubmitted.
Billing Specialist
Physican Choice Medical Billing
11.2021 - 02.2022
Physicians choice medical billing of of south florida, Responsibilities also include reviewing and resolution of patient insurance, EOB, insurance claim, denial ,calling insurance companies refiling claims, sending out any insurance correspondence ie .medical records and copies of insurance cards, calling patient, sending collection letters, blocking patients accounts in the practice management system, preparing adjustment sheets for review by the billing manager
Manually and electronically process and post a high volume of billing statements while updating accounts adjustments and keeping a records of account standing
Daily use of microsoft word and excel spreadsheet
Insurance verification
Assist with patient calls
Posted and adjusted payments from insurance companies.
Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
Located errors and promptly refiled rejected claims.
Precisely evaluated and verified benefits and eligibility.
Identified and resolved patient billing and payment issues.
Trained new employees on multiple medical billing programs and data entry software.
Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
Determined prior authorizations for medication and outpatient procedures.
Collected payments and applied to patient accounts.
Delivered timely and accurate charge submissions.
Posted payments and collections on regular basis.
Filed and updated patient information and medical records.
Account Specialist
E-Z Claims
04.2014 - 11.2021
Responsible for setting up insurance portals
General billing department responsibilities including answering billing phone calls as well as completing assigned daily tasks, ie Responsibilities also includes reviewing and resolution
Of patient insurance eob, insurance claims denial calling insurance companies re-filing claims, sending out any insurance correspondence ie
Posted and adjusted payments from insurance companies.
Medical records and copies of insurance cards
Calling patient sending patient
Collections letters, blocking patient accounts in the practice management system, preparing and sending patient accounts to the collection agency, preparing adjustment sheets for review by the billing manager 8.
Education
High School Diploma -
Bridge Port High School, Jamaica
07.2006
Honoree of Accounting
Honoree of Marketing
Skills
Check Inspection and Validation
Accounts Receivable Expertise
Google Drive
Billing Systems and Software
Financial Documentation
Account Posting
Billing Data Verification
Information Updates
Claim Processing
Medical Billing and Collections
Collection Practices
Benefits Verifications
Audit Procedures
Spreadsheet Tracking
Microsoft Office 365
Word Processing
Database Maintenance
Filing Appeals
Timeline
Billing Specialist - Blue MedConsultants
02.2022 - Current
Billing Specialist - Physican Choice Medical Billing
Medicare Appeals & Grievances Coordinator at Florida Blue - Blue Cross Blue Shield Of FloridaMedicare Appeals & Grievances Coordinator at Florida Blue - Blue Cross Blue Shield Of Florida
Customer Service Representative at Florida Blue - Blue Cross Blue Shield Of FloridaCustomer Service Representative at Florida Blue - Blue Cross Blue Shield Of Florida