Summary
Overview
Work History
Education
Skills
Timeline
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Anthony Evans

Grand Prairie,TX

Summary

Proven Medical Billing Specialist with a track record of enhancing team productivity and accuracy at Pathadvantage. I have leverage skills in data entry and customer service to streamline billing processes and improve patient satisfaction. Demonstrated ability to adapt to new software, increasing efficiency by over 30%.

Overview

32
32
years of professional experience

Work History

Medical Billing Specialist

Pathadvantage
10.2013 - Current
  • Communicated effectively and extensively with other departments to resolve claims issues.
  • Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
  • Located errors and promptly refiled rejected claims.
  • Identified and resolved patient billing and payment issues.
  • Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
  • Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
  • Collected payments and applied to patient accounts.
  • Precisely evaluated and verified benefits and eligibility.
  • Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
  • Filed and updated patient information and medical records.
  • Coordinated with other departments to address any discrepancies or concerns related to charge capture or data entry accuracy.
  • Participated in departmental meetings, sharing insights and ideas for improving overall medical billing efficiency and revenue generation.
  • Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
  • Verified insurance of patients to determine eligibility.
  • Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
  • Responded to customer concerns and questions on daily basis.
  • Collaborated with customers to resolve disputes.
  • Used data entry skills to accurately document and input statements.
  • Processed payment via telephone and in person with focus on accuracy and efficiency.
  • Increased team productivity by training new staff members on medical software systems and best practices for data management.
  • Upheld high standards of accuracy while adapting to frequent updates in medical billing codes and insurance regulations.
  • Assisted in maintaining HIPAA compliance with strict adherence to privacy regulations during data entry tasks.
  • Demonstrated adaptability by mastering new software systems as they were introduced, maintaining expertise in multiple medical data entry platforms.
  • Promoted a positive patient experience by addressing questions related to billing or personal health records with clarity and empathy.
  • Managed and organized documents for data entry tasks.
  • Used computer software to store and retrieve data.
  • Checked for accuracy by verifying data and records.
  • Updated and maintained customer information, documents and records.
  • Followed data entry protocols, rules and regulations.
  • Corrected data entry errors to prevent duplication or data degradation.
  • Utilized techniques for increasing data entry speed.
  • Kept optimal quality levels to prevent critical errors and support team performance targets.
  • Compiled, verified accuracy, and sorted information to prepare source data for computer entry.

Medical Biller

Medical Edge Healthcare Group
01.2000 - 09.2013
  • Increased team productivity by training new staff members on medical software systems and best practices for data management.
  • Upheld high standards of accuracy while adapting to frequent updates in medical billing codes and insurance regulations.
  • Minimized delays in treatment plans through efficient scheduling of appointments, tests, and procedures using relevant software tools.
  • Expedited insurance claim processing by effectively managing sensitive patient data, including diagnoses, treatments, and billing codes.
  • Assisted in maintaining HIPAA compliance with strict adherence to privacy regulations during data entry tasks.
  • Demonstrated adaptability by mastering new software systems as they were introduced, maintaining expertise in multiple medical data entry platforms.
  • Improved data accuracy by meticulously entering and updating medical records in a timely manner.
  • Promoted a positive patient experience by addressing questions related to billing or personal health records with clarity and empathy.
  • Managed and organized documents for data entry tasks.
  • Used computer software to store and retrieve data.
  • Checked for accuracy by verifying data and records.
  • Updated and maintained customer information, documents and records.
  • Followed data entry protocols, rules and regulations.
  • Scanned documents and saved in database to keep records of essential organizational information.
  • Corrected data entry errors to prevent duplication or data degradation.
  • Utilized techniques for increasing data entry speed.
  • Developed and implemented data entry operations.
  • Compiled, verified accuracy, and sorted information to prepare source data for computer entry.
  • Organized and filed all necessary documentation related to medical billing procedures, maintaining a streamlined office environment conducive to efficient operations.
  • Provided exceptional customer service while addressing patient inquiries regarding billing issues or concerns.
  • Established effective relationships with insurance company representatives to expedite claim processing times and increase reimbursement rates.
  • Improved cash flow by negotiating payment plans with patients experiencing financial difficulties.
  • Implemented quality assurance measures to minimize errors in data entry, leading to increased claim approval rates from insurers.
  • Updated and maintained patient accounts within the billing system, ensuring accurate records for future invoicing and reimbursement processes.
  • Maintained confidentiality of patient information by adhering to strict HIPAA regulations throughout the billing process.
  • Participated in ongoing training sessions to stay current on industry best practices for medical billing and coding procedures.
  • Optimized workflow processes, enabling a reduction in errors and improvement in overall team productivity levels.
  • Streamlined the billing process for increased efficiency by implementing new software solutions.
  • Ensured accurate coding and billing practices, resulting in reduced claim rejections and faster reimbursements.
  • Posted payments and collections on regular basis.
  • Verified insurance of patients to determine eligibility.
  • Collected payments and applied to patient accounts.
  • Reviewed patient records, identified medical codes, and created invoices for billing purposes.
  • Delivered timely and accurate charge submissions.
  • Reviewed patient diagnosis codes to verify accuracy and completeness.
  • Used data entry skills to accurately document and input statements.
  • Responded to customer concerns and questions on daily basis.
  • Audited and corrected billing and posting documents for accuracy.
  • Collaborated with customers to resolve disputes.
  • Utilized various software programs to process customer payments.
  • Generated monthly billing and posting reports for management review.
  • Processed payment via telephone and in person with focus on accuracy and efficiency.

Medical Office Specialist

Intensive Home Health Care
02.1993 - 12.1999
  • Facilitated effective communication between patients, healthcare providers, and insurance companies for optimal care coordination.
  • Established strong rapport with patients through thoughtful listening skills, empathetic communication, and professional demeanor.
  • Processed payments from patients promptly and accurately while answering any questions regarding their account balances or insurance coverage.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
  • Used [Software] to schedule appointments for doctor visits and procedures.
  • Managed inventory of medical supplies to provide necessary resources for daily clinic operations without interruption.
  • Verified insurance of patients to determine eligibility.
  • Communicated with insurance providers to resolve denied claims and resubmitted.

Education

Kinesiology

Tyler Junior College
Tyler, TX

Skills

  • HIPAA Compliance
  • Payment posting
  • Insurance Verification
  • CPT Knowledge
  • Data Entry
  • Medical Billing
  • Customer Service
  • Teamwork and Collaboration
  • Accounts Receivable
  • Knowledgeable Telcor, Novapth, Copia, and Waystar
  • Multitasking and Organization

Timeline

Medical Billing Specialist

Pathadvantage
10.2013 - Current

Medical Biller

Medical Edge Healthcare Group
01.2000 - 09.2013

Medical Office Specialist

Intensive Home Health Care
02.1993 - 12.1999

Kinesiology

Tyler Junior College

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Anthony Evans