Barbara Wilkes
Toledo,OH
Summary
Detail-oriented billing professional with 26 years of work experience, with 8 years of management experience, including a low-level position. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving, with strong customer service. Experienced in developing and managing efficient billing and posting processes. Considered focused and organized team player.
Overview
26
26
years of professional experience
Work History
Billing Specialist
Xifin, Inc
01.2013 - Current
- Streamlined billing processes by implementing efficient workflows and utilizing advanced software tools.
- Collected payments and applied to patient accounts.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Reconciled accounts receivable
- Identified and resolved patient billing and payment issues.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Posted and adjusted payments from insurance companies.
- Responded to customer concerns and questions on daily basis.
- Located errors and promptly refiled rejected claims.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Posted payments and collections on regular basis.
- Reduced errors in medical billing by meticulously reviewing patient records and ensuring accurate coding.
- Researched CPT and ICD-10 coding discrepancies for compliance and reimbursement accuracy.
- Collaborated with customers to resolve disputes.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Verified insurance of patients to determine eligibility.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
Billing Specialist
Consultants In Laboratory Medicine
02.2005 - 08.2012
- Collected payments and applied to patient accounts.
- Audited and corrected billing and posting documents for accuracy.
- Reconciled accounts receivable
- Identified and resolved patient billing and payment issues.
- Posted and adjusted payments from insurance companies.
- Responded to customer concerns and questions on daily basis.
- Posted payments and collections on regular basis.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Enhanced data integrity by implementing strict quality control measures on all billable items entered into the system.
Billing Specialist
Accountemps
09.2004 - 02.2005
- Enhanced data integrity by implementing strict quality control measures on all billable items entered into the system.
- Responded to customer concerns and questions on daily basis.
Payment Posting Specialist
HCR ManorCare
09.2001 - 09.2004
- Reduced errors in payment transactions by conducting thorough audits and identifying areas for improvement.
- Performed various administrative tasks related to payments, including generating reports, updating records, and maintaining accurate documentation.
- Provided exceptional support to customers by addressing inquiries related to billing and payments in a timely manner.
- Supported cash flow management efforts by monitoring outstanding balances and initiating collection actions when necessary.
- Managed the reconciliation of accounts payable and receivable, ensuring accuracy in financial reporting.
- Prepared financial statements to provide results of operations, financial position and cash flow.
- Researched billing errors and discrepancies to initiate corrective action.
- Submitted cash and check deposits and generated cash receipts to record money received.
Billing Specialist
OptiVue
03.1998 - 08.2001
- Generated monthly billing and posting reports for management review.
- Processed vendor and supplier payments on weekly basis.
- Processed and verified invoices to secure accuracy of billing information.
- Handled account payments and provided information regarding outstanding balances.
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
- Identified payment trends and adjusted billing processes accordingly to retain customers.
- Researched and resolved billing discrepancies to enable accurate billing.
- Responded to customer concerns and questions on daily basis.
- Reconciled accounts receivable
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Used data entry skills to accurately document and input statements.
- Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
- Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.
- Worked well in a team setting, providing support and guidance.
Education
No Degree - Business Management
Owens Community College
Perrysburg, OHHigh School Diploma -
DeVilbiss High School
Toledo, Ohio06.1987
Skills
- Invoice Generation
- Auditing proficiency
- Analytical Skills
- Goal Setting
- Data entry proficiency
- 10-Key Data Entry
- Collections processing
- Claim submission
- Correspondence
- Billing and Invoicing
- Laboratory Procedures
- Medical Laboratory
- Misys, IDX, MITS, Insight, Enterprise, EPIC, SSO RPM System
Languages
English
Professional Working
Timeline
Billing Specialist
Xifin, Inc
01.2013 - Current
Billing Specialist
Consultants In Laboratory Medicine
02.2005 - 08.2012
Billing Specialist
Accountemps
09.2004 - 02.2005
Payment Posting Specialist
HCR ManorCare
09.2001 - 09.2004
Billing Specialist
OptiVue
03.1998 - 08.2001
No Degree - Business Management
Owens Community College
High School Diploma -
DeVilbiss High School
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