Arketa M Hagins
Tampa,FL
Summary
Organized Medical Biller thoroughly versed in medical coding and HIPAA requirements. Personable professional with several years of hands-on experience claiming refunds, reviewing claims, and maintaining billing reports. Accommodating and helpful team player proficient in job-related billing software.
Overview
27
27
years of professional experience
Work History
Medical Billing Specialist
VF Medical Billing & Consulting LLC
Tampa, FL
08.2021 - 05.2024
- Verified the accuracy of claim data prior to submission to insurance carriers. Updated patient insurance coverage and benefits ensuring timely resolution. Adhered to HIPAA regulations when handling confidential patient information. Ensured HIPAA compliance by maintaining confidentiality of all patient information. Accurately coded diagnostics and prepared statements for patients. Reviewed claims for coding accuracy.
Customer Service Supervisor
HIP HEALTH PLAN OF NEW YORK /EMBLEM HEALTH
New York, NY
02.1997 - 03.2021
- Supervised and trained customer service staff to ensure excellent customer service delivery.
- Assisted members with product inquiries and resolving complaints promptly and professionally.
- Collaborated closely with upper management on projects involving new initiatives or improvements within the department.
- Provided guidance and support to junior customer service representatives, including coaching and mentoring.
- Resolved escalated member disputes in a timely manner while maintaining good relationships.
- Ensured all member inquiries were handled in accordance with company standards and regulations.
- Conducted regular team meetings with customer service staff to discuss issues or changes in policies and procedures.
- Monitored phone calls to promote better service and provide feedback.
- Maintained knowledge of company products and services to promptly resolve complaints and concerns.
- Established positive rapport with members, managers and customer service team members to maintain positive and successful work environment.
Education
High School Diploma -
Bushwick High School
Brooklyn, NY06-1973
Skills
- HIPAA Compliance
- Patient Billing
- Quality-oriented team player
- Bill payment
- Insurance Verification
- Billing and Collection Procedures
- Commercial and Private Insurance
- Claims Processing
- HIPAA Compliance Certification
- Insurance Billing
- CPT code modifiers
- ICD-10 Coding
- Submission of medical claims
- Insurance Claims
Accomplishments
Successfully completed Customer Service training receiving certificate. Received certificate of completion for Core Training. "Creating Outstanding Relationship with Excellence." Awarded certificate of completion for HIPAA Compliance Training.
Timeline
Medical Billing Specialist
VF Medical Billing & Consulting LLC
08.2021 - 05.2024
Customer Service Supervisor
HIP HEALTH PLAN OF NEW YORK /EMBLEM HEALTH
02.1997 - 03.2021
High School Diploma -
Bushwick High School
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