Antoinette Owens
Valdosta
Summary
Driven professional with a solid background in medical terminology, billing practices, and office administration, enthusiastic about joining a vibrant healthcare team. Demonstrates outstanding attention to detail and a dedication to upholding patient confidentiality. Proficient in front-desk scheduling, insurance verification, and utilizing electronic medical records (EMR) software. Aiming to leverage organizational abilities to enhance the efficiency of patient care.
Overview
15
15
years of professional experience
Work History
Medical Billing Assistant
StarMedical Clinic
05.2023 - 01.2026
- Processed and submitted medical claims using advanced billing software, ensuring accuracy and compliance with regulations.
- Resolved billing discrepancies by communicating effectively with insurance providers and healthcare staff.
- Monitored accounts receivable to identify outstanding claims and initiate follow-up actions as necessary.
- Maintained up-to-date knowledge of insurance policies and coding standards to ensure compliance in billing practices.
- Participated in staff trainings to enhance team performance in medical billing operations consistently.
- Safeguarded patient privacy, adhering to strict HIPAA regulations during all aspects of the billing process.
- Strengthened client relationships through clear communication and prompt resolution of billing concerns.
- Communicated with insurance providers to resolve denied claims and resubmitted.
Member Service Representative
Automated Health Systems Inc.
01.2022 - 05.2023
- Provided exceptional customer service by addressing member inquiries and resolving issues effectively.
- Utilized CRM software to track member interactions and streamline communication processes.
- Educated members on available services, benefits, and claims procedures to enhance understanding.
- Collaborated with team members to improve service delivery and optimize operational workflows.
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Provided exceptional service through active listening, understanding member needs, and offering appropriate solutions.
- Enhanced customer satisfaction by efficiently addressing and resolving inquiries and concerns.
- Maintained high-quality service by adhering to company policies and standards in all member interactions.
- Verified customer identification and documentation for compliant transactions.
- Handled complaints with prompt, courteous service to uphold professional reputation.
Medical Claims
Optum
09.2021 - 01.2022
- Managed large volume of medical claims on daily basis.
- Managed high volume of medical claims, maintaining organization and prioritization to meet deadlines consistently.
- Evaluated medical claims for accuracy and completeness and researched missing data.
- Researched and resolved complex medical claims issues to support timely processing.
- Promptly sent out and posted all medical claims.
- Maintained compliance with industry regulations and company policies while evaluating medical claims for accuracy and legitimacy.
- Managed a high volume of medical claims by prioritizing tasks based on due dates and urgency, preventing delays in processing.
- Verified patient insurance coverage and benefits for medical claims.
- Maintained a high level of customer satisfaction by promptly addressing inquiries and resolving issues related to medical claims.
- Improved accuracy of medical billing by meticulously verifying procedure codes before submitting claims to insurance companies.
Medical Office Assistant
C&R Medical
05.2011 - 08.2021
- Managed patient scheduling and appointments to optimize office workflow.
- Facilitated effective communication between medical staff and patients, enhancing service delivery.
- Maintained accurate patient records using electronic health record (EHR) systems to ensure compliance.
- Assisted in the preparation of medical charts, ensuring completeness for efficient provider review.
- Coordinated insurance verification processes to streamline billing procedures and improve collections.
- Trained new staff on office protocols and procedures, fostering a collaborative work environment.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Updated patient information and insurance details for accurate electronic medical records.
- Registered patients and completed associated paperwork for accurate records.
- Provided compassionate support to patients during check-in/check-out process, addressing concerns and answering questions as needed.
- Assisted physicians in providing high-quality care, completing insurance forms and handling referrals promptly.
- Contributed to a positive work environment by maintaining organized files and facilitating clear communication between staff members.
- Restocked each medical room with adequate supply of medications and supplies in preparation for patients.
- Performed various administrative tasks by filing, copying and faxing documents.
- Assisted with medical coding and billing tasks.
- Processed medical insurance claims and payments.
Education
Criminal Justice
University of Arkansas Grantham
Little Rock, AR01-2028
Technical Diploma - Medical Assistant
Everest Institue
Hialeah, FL05-2011
High School Diploma -
Academy For Community Education
Miami, FL06-2010
Skills
- ICD-10 proficiency
- CPT knowledge
- HIPAA compliance
- Claim submission
- Insurance verification
- Patient billing
- Data entry
- Medical terminology
- Electronic health record software
- Medicare and medicaid process
- Attention to detail
- Time management
- Problem-solving
- Multitasking
- CPR
- Appointment setting
- Medical office administration
- Patient relations
- Call center experience
- Microsoft Excel
- Documentation
- Microsoft Office Suite
Timeline
Medical Billing Assistant
StarMedical Clinic
05.2023 - 01.2026
Member Service Representative
Automated Health Systems Inc.
01.2022 - 05.2023
Medical Claims
Optum
09.2021 - 01.2022
Medical Office Assistant
C&R Medical
05.2011 - 08.2021
Criminal Justice
University of Arkansas Grantham
Technical Diploma - Medical Assistant
Everest Institue
High School Diploma -
Academy For Community Education