Antiana Wilson
Kissimmee,FL
Summary
Skilled Medical Billing Specialist bringing many years of experience in AR and collections, with expertise in providing suitable resolutions to claim denials and underpayments. Skilled in submitting electronic or paper claims, in addition to making cash adjustments and payment posting.
Overview
8
8
years of professional experience
Work History
Medical Billing Specialist
United Surgical Partners International
Tampa, FL
01.2022 - Current
- Timely follow-up on unpaid or underpaid claims, and resolve discrepancies to ensure timely, maximum reimbursement. Review insurance payments and determine accuracy of reimbursement based on contracts, fee schedules or summary plan documents.
- Posting of payments and payment reconciliation to accurately reflect payments, contractual allowances.
- Corrected claim billing errors such as member IDs, diagnosis codes, HCPS, etc and Ensured accurate electronic submissions of claims.
- Recommend and make adjustments when applicable or recommend a refund for overpayments to insurance carriers or patients, providing the appropriate documentation.
- Gained knowledge of multiple insurance payers such as Medicare, Medicaid, Commercial payers and workers comp.
- Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment.
A/R Assistant
NSN Revenue Resources
Tampa, FL
12.2019 - 12.2021
- Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
- Provided quality customer service to assigned, insured and claimants throughout claims process to deliver timely service to customers.
- Supported customer service goals and enhanced relations through friendly, knowledgeable and positive communication.
- Resolved discrepancies between customers' remittances and invoices received.
Patient Account Specialist
NSN Revenue Resources
Tampa, FL
06.2018 - 11.2019
- Oversaw daily collections and accounts receivable activities, developing robust strategies to maximize collections and reduce aged accounts.
- Collaborated with relevant parties to resolve billing issues, insurance claims and patient payments.
- Completed outbound collection calls, mailed letters and sent emails to encourage customer payment of overdue invoices to bring accounts current with suitable repayment plans or collecting payments in full.
Administrative Assistant
NSN Revenue Resources
Tampa, FL
06.2017 - 06.2018
- Developed administrative processes to achieve organizational objectives and improve office efficiency.
- Worked with management team to improve workflows and eliminate unnecessary tasks.
- Organized and maintained filing and document management systems by coordinating, archiving and purging files.
Education
Associate of Science - Business Administration- Entrepreneurship
Hillsborough Community College
Tampa, FL08.2021
College Credit Certificate - Business Management
Hillsborough Community College
Tampa, FLCollege Credit Certificate - Business Operations
Hillsborough Community College
Tampa, FLCollege Credit Certificate - Entrepreneurship and Innovation
Hillsborough Community College
Tampa, FLCollege Credit Certificate - Accounting Technology Specialist
Hillsborough Community College
Tampa, FLCollege Credit Certificate - Business Specialist
Hillsborough Community College
Tampa, FLSkills
- Accounts Receivable
- Aging Reports Analysis
- Claims Processing
- Claim Submission
- Codes Reviewing
- Credit and Collections
- Customer Service Support
- EOB REVIEW
- Investigative Research
Software Applications
- Gained knowledge to navigate through different systems such as Navigator, Waystar, Laclaro, Medtek, AdvantX, Vision, Citrix, Oracle, availity and more.
Timeline
Medical Billing Specialist
United Surgical Partners International
01.2022 - Current
A/R Assistant
NSN Revenue Resources
12.2019 - 12.2021
Patient Account Specialist
NSN Revenue Resources
06.2018 - 11.2019
Administrative Assistant
NSN Revenue Resources
06.2017 - 06.2018
Associate of Science - Business Administration- Entrepreneurship
Hillsborough Community College
College Credit Certificate - Business Management
Hillsborough Community College
College Credit Certificate - Business Operations
Hillsborough Community College
College Credit Certificate - Entrepreneurship and Innovation
Hillsborough Community College
College Credit Certificate - Accounting Technology Specialist
Hillsborough Community College
College Credit Certificate - Business Specialist
Hillsborough Community College
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