April Bork
Summary
Driven Billing Specialist collects, posts and manages account payments. Proven success building relationships and maintaining optimal billing efficiency. Excellent organizational and problem-solving skills with superior client service acumen.
Proficient in WI Medicaid billing procedures
Overview
39
39
years of professional experience
Work History
Billing Specialist
Northwest Respiratory Services LLC.
Eagan
08.2017 - Current
- Resolved patient billing inquiries and discrepancies to ensure timely payments.
- Coordinated with insurance companies to verify coverage and claims status.
- Managed and updated billing records in advanced financial software to enhance accuracy.
- Reviewed and updated patient accounts for accuracy and compliance.
- Trained new staff on billing procedures and software usage effectively.
- Worked with team members to identify and develop process improvements.
- Supported other departments within the organization.
- Maintained comprehensive records of collections, adjustments, and denials for reporting and compliance.
- Communicated with healthcare providers to gather necessary documentation.
- Reviewed prior authorization requests to ensure accuracy and completeness of required information.
- Contacted insurance carriers to obtain authorizations, notifications and pre-certifications for patients.
- Payment reconciliation
Intake/Prior Adjudication/DME Manager
Omnicare
Milwaukee
01.1987 - 08.2017
- Oversaw inventory management and ensured timely supplies availability.
- Facilitated communication between healthcare providers and patients regarding equipment needs.
- Analyzed operational processes to identify areas for improvement and optimization.
- Facilitated communications between physicians' offices and other healthcare providers regarding patient care plans involving durable medical equipment.
- Evaluated the effectiveness of existing DME programs and made recommendations for improvement.
- Managed claims processing for diverse insurance products and services.
- Reviewed and analyzed claim submissions for accuracy and completeness.
- Collaborated with cross-functional teams to resolve complex claims issues.
Education
Washington Park High School
Racine, WISkills
Results-oriented Billing Specialist experienced in managing account payments and optimizing billing processes Built strong relationships while ensuring compliance with WI Medicaid billing procedures Focused on delivering exceptional client service through effective organizational and problem-solving skills
Results-oriented Billing Specialist experienced in managing account payments and optimizing billing processes Built strong relationships while ensuring compliance with WI Medicaid billing procedures Focused on delivering exceptional client service through effective organizational and problem-solving skills
Timeline
Billing Specialist
Northwest Respiratory Services LLC.
08.2017 - Current
Intake/Prior Adjudication/DME Manager
Omnicare
01.1987 - 08.2017
Washington Park High School