Bernice Reed
Clarksdale,MS
Summary
Results-driven Medical Biller with extensive experience at Cardiovascular Solutions of Central Mississippi. Expert in insurance claims processing and denial management, achieving significant reductions in claim denials. Proven ability to enhance revenue collections through effective teamwork and critical thinking, ensuring timely payments and optimal reimbursement rates.
Overview
2026
2026
years of professional experience
Work History
Medical Biller
Cardiovascular Solutions of Central Mississippi
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Posted payments and collections on regular basis.
- Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
Medical Biller and Coder
The Woman's Clinic
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Played a pivotal role in maintaining positive cash flow within the organization by ensuring timely submission of clean claims and diligent follow-ups on outstanding payments.
- Expedited payment processing by promptly addressing any discrepancies or issues raised by insurance carriers.
Prior Authorization Specialist
Cardiovascular Solution of Central Mississippi
08.2021 - Current
- Worked with physicians to gather essential clinical data for prior authorization submissions.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Verified eligibility and compliance with authorization requirements for service providers.
Education
Clarksdale High
Clarksdale, MSSkills
- Insurance claims
- Medical billing
- Insurance billing
- Electronic claims
- Patient billing
- CPT knowledge
- Billing and collection procedures
- Accounts receivable
- Insurance claims processing
- Denial management
- CMS-1500 billing forms
- Claims processing
- Payment posting
- ICD-10
- Claims review
- Medical claims submission
- Accounts receivable management
- Account management
- Collections management
- Critical thinking
- Teamwork and collaboration
- ICD-10 coding
- Patient collections
Timeline
Prior Authorization Specialist
Cardiovascular Solution of Central Mississippi
08.2021 - Current
Medical Biller
Cardiovascular Solutions of Central Mississippi
Medical Biller and Coder
The Woman's Clinic
Clarksdale High
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