Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
16
16
years of professional experience
Work History
Billing Department
Hamilton Pediatrics
03.2020 - Current
Waystar, E-Clinical, Convergepay, Availity , HCA
Filled new born hospital claims
Communicated with insurance providers to resolve denied claims and resubmitted.
Communicated effectively and extensively with other departments to resolve claims issues.
Located errors and promptly refiled rejected claims.
Researched CPT and ICD-10 coding discrepancies for compliance and reimbursement accuracy.
Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
Collected payments and applied to patient accounts.
Filed and updated patient information and medical records.
Receptionist
Hamilton Pediatrics
01.2015 - 03.2020
Coordinated patient scheduling, check-in, check-out and payments for billing.
Checked patient insurance, demographic, and health history to keep information current.
Helped patients complete necessary medical forms and documentation.
Maintained strict confidentiality of patient information, adhering to HIPAA regulations and medical office policies.
Managed high call volumes, directing calls to appropriate departments while maintaining a polite and professional demeanor.
Organized paperwork such as charts and reports for office and patient needs.
Maintained current and accurate medical records for patients.
Clerk
ADM (Aerotek Contract)
01.2014 - 01.2015
Managed inbound calls
Organized, sorted, and checked input data against original documents.
Created and maintained data entry logs to track data entry activities.
Created spreadsheets for more efficient recordkeeping.
Completed data entry tasks with accuracy and efficiency.
Followed established procedures to enter and process data correctly.
Customer Service Representative
HomeServe USA
03.2013 - 08.2013
Managed a high volume of calls daily, maintaining composure under pressure while providing exceptional service.
Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
submitted House insurance warranty claims
Receptionist
San Diego Cardiovascular
01.2012 - 01.2013
Answering multiple phone lines and directed calls to appropriate personnel, Managed the scheduling of appointments for patients, Received payments and managed financing for patients, Managed the organization of charts and documentation of patients
Receptionist/Finance Coordinator
Advance Dental Care
01.2009 - 01.2012
Scheduled, rescheduled, and cancelled appointments for dental patients.
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Maintained a clean and welcoming reception area for patients, contributing to a positive dental visit experience.
Handled sensitive situations professionally such as discussing treatment costs or past-due account balances with patients to ensure a satisfactory resolution.
Reduced wait times by quickly greeting patients upon arrival and assisting with the check-in process.
Adhered to strict HIPAA guidelines to protect patient privacy.
Front Office Customer Care Specialist/Patient Services Representative at SEWICKLEY VALLEY PEDIATRICS/ UPMC CHILDREN'S COMMUNITY PEDIATRICSFront Office Customer Care Specialist/Patient Services Representative at SEWICKLEY VALLEY PEDIATRICS/ UPMC CHILDREN'S COMMUNITY PEDIATRICS