ANNA RAINER

• Processed insurance claims efficiently to ensure timely reimbursement for rehabilitation services.
• Resolved billing discrepancies by communicating with providers and payers to enhance accuracy.
• Trained junior staff on billing procedures and software, fostering team efficiency and knowledge sharing.
• Reviewed patient accounts to identify underpayments and initiate corrective actions promptly.
• Monitored changes in healthcare legislation affecting billing processes, adapting practices accordingly.
• Analyzed coding practices to ensure compliance with regulations, enhancing claim acceptance rates.
• Led initiatives to streamline billing operations, reducing processing times and increasing productivity across teams.
• Communicated with insurance providers to resolve denied claims and resubmitted.
• Posted and adjusted payments from insurance companies.
• Communicated effectively and extensively with other departments to resolve claims issues.
• Located errors and promptly refiled rejected claims.
• Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
• Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
• Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
• Precisely completed appropriate claims paperwork, documentation and system entry.
• Precisely evaluated and verified benefits and eligibility.
• Monitored changes in payer requirements, adjusting billing practices accordingly to minimize disruptions in the revenue cycle.
• Participated in departmental meetings, sharing insights and ideas for improving overall medical billing efficiency and revenue generation.
• Conducted regular audits of patient accounts for potential underpayments or overpayments due to incorrect coding or billing practices.
• Developed customized reports for management review, highlighting trends in key performance metrics such as claim denial rates and days outstanding for accounts receivable balances.
• Adhered to established standards to safeguard patients' health information.

• Assisted in patient intake and medical history documentation, ensuring accuracy and compliance with regulations.
• Coordinated appointments and managed scheduling for multiple providers, enhancing patient flow and access to care.
• Educated patients on treatment plans and post-operative care, improving understanding and adherence to medical advice.
• Trained new staff on office protocols and clinical procedures, fostering a knowledgeable team environment.
• Monitored inventory levels of medical supplies, ensuring timely replenishment to support uninterrupted patient care delivery.
• Sanitized, restocked, and organized exam rooms and medical equipment.
• Obtained client medical history, medication information, symptoms, and allergies.
• Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
• Maintained a safe and clean clinical environment by adhering to infection control guidelines and disposing of biohazardous waste properly.
• Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
• Boosted patient satisfaction by providing compassionate care and promptly addressing needs during visits.
• Coordinated patient referrals to specialists or other healthcare providers as needed for comprehensive care management plans.
• Assisted with billing and coding processes, ensuring accurate insurance claims and patient invoicing.
• Implemented electronic health record updates to enhance data accuracy and accessibility across departments.

• With this employer, I executed all administrative procedures under my supervision. The following are areas in which I excelled:
• - Answering phones, scheduling patient appointments, collecting copays, filing charts, preparing charts for upcoming patient appointments, inputting charges for patient visits, billing insurance companies.
• - Investigating and working denied insurance claims, handling collection accounts as well as making collection calls on patient accounts, maintaining a safe and sanitary work environment.
• - Patient billing, insurance investigations.
• - Providing an accurate representation of the company’s mission statement and standards by following company guidelines, policy, and procedures as they were outlined for me at the beginning of employment.
• SOFTWARE: NextGen, Waystar, Trizetto/Gateway, Medicare (Traditional and Medicare Replacement Plans), Medicaid (including individual websites for all Louisiana Medicaid Plans), Tricare/Humana Military, BCBS, UHC, Cigna, Aetna, Availity, Humana.

• With this employer, I displayed excellence in the execution of all supporting administrative procedures under my supervision. The following areas are that which I exceeded expectations and consistently delivered results:
• - Filing, input, and organization of accounts and invoices pertaining to customer orders.
• - Representation of company by ensuring satisfaction by answering and addressing customer concerns and questions.
• - Relieving minor opportunities of efficiency by addressing concerns of my superiors while maintaining vigilance over my responsibilities.

Assisted customers with inquiries and resolved issues in person and over the phone. Supported customers in selecting products that matched their individual preferences. Maintained attractive and functional displays throughout the store. Provided outstanding customer service to enhance and promote the company brand. Processed sales transactions and handled payments efficiently. Explained product features and operations to customers. Kept updated on current promotions, payment policies, exchange procedures, and security measures. Facilitated special orders and coordinated with other stores to locate requested items. Operated cash register for cash, check, and credit card transactions.

Assisted customers with inquiries and resolved issues in person and over the phone. Supported customers in selecting products that matched individual preferences. Maintained attractive and functional displays throughout the store. Provided exceptional customer service to enhance company brand. Processed sales transactions and handled payments efficiently. Explained product features and operations to customers. Stayed updated on current promotions, payment policies, exchange procedures, and security measures. Facilitated special orders and coordinated with other stores to locate requested items. Operated cash register for cash, check, and credit card transactions.

Assisted customers with inquiries and resolved issues in person and over the phone. Supported customers in selecting products that matched individual preferences. Maintained attractive and functional displays throughout the store. Provided exceptional customer service to enhance company brand. Processed sales transactions and handled payments efficiently. Explained product features and operations to customers. Stayed updated on current promotions, payment policies, exchange procedures, and security measures. Facilitated special orders and coordinated with other stores to locate requested items. Operated cash register for cash, check, and credit card transactions.

• Assisted customers with inquiries and resolved issues in person and over the phone. Supported customers in selecting products that matched their individual preferences. Maintained attractive and functional displays throughout the store. Provided outstanding customer service to enhance and promote the company brand. Processed sales transactions and handled payments efficiently. Explained product features and operations to customers. Kept updated on current promotions, payment policies, exchange procedures, and security measures. Facilitated special orders and coordinated with other stores to locate requested items. Operated cash register for cash, check, and credit card transactions.