Barbara Davis
Bridgeton
Summary
With a proven track record at Premier Orthopedics and Sports Medicine, I streamlined billing procedures and enhanced revenue cycles, showcasing my expertise in medical coding and exceptional teamwork skills. My strategic approach to claims processing and dedication to professionalism significantly improved efficiency and compliance, making me a valuable asset to any healthcare team.
Overview
6
6
years of professional experience
Work History
Senior Medical Billing Specialist
Premier Orthopedics and Sports Medicine
10.2021 - Current
- Streamlined billing procedures for increased efficiency and reduced errors.
- Successfully negotiated contracts with external vendors, achieving cost savings while maintaining high-quality services.
- Conducted thorough reviews of denied claims, identifying root causes and implementing corrective actions.
- Developed strategies to reduce accounts receivable aging and improve cash flow.
- Improved revenue cycle by managing and overseeing the entire medical billing process.
- Maintained compliance with industry regulations by staying current on changes in coding and billing practices.
- Increased accuracy in claims submissions, resulting in higher reimbursement levels.
- Provided excellent customer service to patients, resolving disputes or discrepancies regarding their bills.
- Established strong relationships with insurance carriers to expedite claim processing times and improve reimbursements.
- Collaborated with cross-functional teams, optimizing the overall medical billing process.
- Effectively managed multiple priorities simultaneously while adhering to strict deadlines within a fast-paced environment.
- Ensured all electronic health records were accurately maintained according to established guidelines.
- Enhanced reimbursement rates by conducting regular audits of billing data.
- Analyzed financial reports to identify trends and areas for improvement in the overall revenue cycle process.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Posted payments and collections on regular basis.
- Collected payments and applied to patient accounts.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Delivered timely and accurate charge submissions.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Used data entry skills to accurately document and input statements.
- Handled account payments and provided information regarding outstanding balances.
- Utilized various software programs to process customer payments.
- Monitored outstanding invoices and performed collections duties.
- Generated monthly billing and posting reports for management review.
Medical Biller, Accounts Receivable
Inspira Medical Center Vineland
08.2019 - 10.2021
- Reduced account receivables aging through diligent follow-up on outstanding claims and prompt resolution of denials.
- Contributed to practice growth by providing detailed analysis of revenue patterns that informed strategic business decisions on expanding services or locations offered.
- Improved cash flow by negotiating payment plans with patients experiencing financial difficulties.
- Organized and filed all necessary documentation related to medical billing procedures, maintaining a streamlined office environment conducive to efficient operations.
- Updated and maintained patient accounts within the billing system, ensuring accurate records for future invoicing and reimbursement processes.
- Developed comprehensive reports for management detailing trends in revenue generation, collection efforts, and outstanding balances.
- Facilitated clear communication between medical providers, insurance companies, and patients for smooth billing operations.
- Ensured accurate coding and billing practices, resulting in reduced claim rejections and faster reimbursements.
Education
Certificate of Technical Studies - Billing And Coding Office Management
Billing And Coding
Millville, NJ06-2010
Certificate of Technical Studies - Medical Assistant
Star Tech Institute
Vineland, NJ04-2006
Skills
- HIPAA compliance awareness
- ICD-10 knowledge
- Organizational growth
- Claims processing proficiency
- Professionalism and ethics
- Electronic health records experience
- Accounts receivable management
- Medical coding expertise
- Revenue cycle management
- CPT coding
- Denial management strategies
- Medical terminology fluency
- Third-party payer guidelines
- Medicare and medicaid regulations
- Medical billing software mastery
- HCPCS level II coding
- Healthcare reimbursement models
- Teamwork and collaboration
- Customer service
- Electronic claims
- Billing and collection procedures
- Multitasking and organization
- Claims review
- Insurance claims processing
- CMS-1500 billing forms
- Critical thinking
- Verbal and written communication
- Data entry
- Insurance verification
- Medical terminology
- Invoice processing
- Patient collections
- Insurance billing
- Commercial and private insurance
Timeline
Senior Medical Billing Specialist
Premier Orthopedics and Sports Medicine
10.2021 - Current
Medical Biller, Accounts Receivable
Inspira Medical Center Vineland
08.2019 - 10.2021
Certificate of Technical Studies - Billing And Coding Office Management
Billing And Coding
Certificate of Technical Studies - Medical Assistant
Star Tech Institute
Similar Profiles
Brittney SandersBrittney Sanders
Medical Assistant at Premier Orthopedics and Sports MedicineMedical Assistant at Premier Orthopedics and Sports Medicine
Angela StewartAngela Stewart
Certified Medical Assistant at Premier Orthopedics and Sports MedicineCertified Medical Assistant at Premier Orthopedics and Sports Medicine
Stacie SiligriniStacie Siligrini
Medical Assistant/ Surgical Coordinator at Premier Orthopedics and Sports MedicineMedical Assistant/ Surgical Coordinator at Premier Orthopedics and Sports Medicine
Amy SheppardAmy Sheppard
Accounts Receivable Manager at Henderson AquaticsAccounts Receivable Manager at Henderson Aquatics
PAUL CHINNICIPAUL CHINNICI
Purchasing Manager/Project Manager at Safeway Fresh FoodsPurchasing Manager/Project Manager at Safeway Fresh Foods