Annie Caldwell
Horn Lake,MS
Summary
Efficient billing and posting clerk with background in managing accurate and timely billing processes, including invoices and account statements. Possess strong organizational skills and adept at data analysis to ensure billing accuracy, leading to improved customer satisfaction. Proven track record in streamlining procedures for more efficient workflow and reducing discrepancies in financial postings.
Adaptable professional with a quick-learning ability and a talent for adjusting to new environments. Skilled in rapidly acquiring new knowledge and applying it effectively. Driven by a passion for continuous learning and successfully navigating change.
Overview
10
10
years of professional experience
1
1
year of post-secondary education
1
1
Certification
Work History
Utilization management/Clinical Assistant - Remote
BlueCross BlueShield of Tennessee
Chattanooga, Tennessee
02.2024 - Current
- Assisted healthcare professionals with patient intake and medical documentation.
- Managed electronic health records using advanced medical software systems.
- Answered phones and responded to inquiries from patients or family members.
- Worked collaboratively with other healthcare professionals to provide quality care for patients.
- Interacted closely with practitioners, nurses and patients and used effective interpersonal, active listening and communication skills.
Insurance Verification Specialist/Remote
Meduit accounts receivable
Minneapolis, Minnesota
01.2024 - 07.2025
- Updated patient and insurance data and input changes into company computer system.
- Entered data in EMR database to record payer, authorization requirements and coverage limitations.
- Maintained accurate documentation on all pre-authorization requests, denials and appeals.
- Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
- Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into system.
- Participated in training sessions on new software programs used for verification purposes.
Medical Biller
Ossorio and Associates
Southaven, Mississippi
11.2018 - 12.2023
- Submitted electronic claims to various insurance carriers.
- Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
- Researched discrepancies between billed charges and payments received from insurance companies or other third party payers.
- Applied HIPAA privacy and security regulations while handling patient information.
- Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
- Performed daily reconciliation of accounts receivable with payment postings on the computer system.
Medical Biller, Accounts Receivable
Trinity medical solutions
Southaven, Mississippi
08.2015 - 07.2018
- Communicated with insurance companies to resolve claim denials and discrepancies.
- Updated patient records in electronic health record systems for efficient billing processes.
- Monitored aging accounts to ensure timely follow-up on outstanding balances and collections.
Education
Certified Medical Billing - Medical Billing And Coding
Delta Technical College
Horn Lake, MS 08.2022 - 04.2023
Skills
- Verbal and written communication
- Clinical support
- Payment posting
- CPT code modifiers
- Knowledgeable in Epic, Trizetto, Aspirus Citrix
- ICD-10 proficiency
- Accounts receivable management
- Medical terminology
- Account follow-up
- Electronic health record software
- Insurance billing
- Data entry
- HIPAA compliance
- HIPAA compliance certification
- Medical claims submission
Certification
- Certification for medical billing and coding
Timeline
Utilization management/Clinical Assistant - Remote
BlueCross BlueShield of Tennessee
02.2024 - Current
Insurance Verification Specialist/Remote
Meduit accounts receivable
01.2024 - 07.2025
Certified Medical Billing - Medical Billing And Coding
Delta Technical College
08.2022 - 04.2023
Medical Biller
Ossorio and Associates
11.2018 - 12.2023
Medical Biller, Accounts Receivable
Trinity medical solutions
08.2015 - 07.2018