Betty (Susie) VanJaarsveld
Franklinton,NC
Summary
Detail-oriented and methodical Medical Billing Specialist offering 26 years of experience in related roles. Exceptional abilities in conducting research, problem-solving and prioritizing simultaneous tasks. Leverages resourcefulness, critical thinking skills and superior work ethic for top job performance.
Organized Medical Billing Specialist with 26 years of experience. Highly skilled in processing and documenting all payment transactions, including cash, checks, and credit cards. Prepared to bring leadership and success working in team environments to expanding organization.
Focused Billing Specialist with 26 years of experience. Skilled in building client and vendor rapport and managing accounts to reduce outstanding balances. Hardworking and energetic with passion for accuracy and efficiency.
Overview
20
20
years of professional experience
Work History
Revenue Cycle Specialist
NSN Revenue Resources
Tampa, FL
09.2023 - Current
- Reviewed patient accounts to ensure accuracy and completeness of information.
- Developed reports detailing billing activities, including payment trends and denial rates.
- Audited payments from third-party payers to ensure accuracy of reimbursement amounts.
- Maintained current knowledge of insurance policies, procedures, regulations, and guidelines.
- Monitored accounts receivables daily to determine appropriate follow-up action needed.
- Built and strengthened client relationships to form long-lasting, profitable bonds.
- Analyzed claims data to identify trends in denials and rejections.
- Processed appeals related to denied or rejected claims in a timely manner.
- Collaborated with other departments to resolve customer inquiries regarding billing issues.
Account Resolution Specialist/Team Lead
PBS Radiology Billing Service
Reno, NV
03.2022 - Current
- Offered advice and assistance to customers, paying attention to special needs or wants.
- Updated account information to maintain customer records.
- Answered constant flow of customer calls with minimal wait times.
- Responded to customer requests for products, services, and company information.
- Provided exceptional customer service to patients, answering questions and addressing concerns.
- Managed patient registration process, confirming data accuracy and completeness.
- Investigated insurance claims denials and appeals.
- Verified insurance eligibility and coverage for patients.
Account Resolution Specialist
OrthoNC
Raleigh, NC
11.2021 - 02.2022
- Completed in-depth research to investigate claims and resolve problems.
- Monitored aging accounts and reached out to customers to discuss payments.
- Assessed individual situations and developed effective and appropriate resolutions.
- Negotiated arrangements to manage defaults, payment plans or full remittance of balance owed.
- Processed payments and applied to customer balances.
- Maintained high volume of calls and met demands of busy and productive group.
- Assisted in implementing procedures and policies to facilitate timely payments.
Medical Account Advisor
Health Prime (formerly Medbill, Formerly Kareo)
Wake Forest, NC
01.2004 - 11.2020
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Responded to requests for information from various individuals by providing HIFCA documents.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Maintained and updated collections tracking spreadsheet to help organize payment information.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Trained new employees on multiple medical billing programs and data entry software.
- Identified and resolved patient billing and payment issues.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Precisely evaluated and verified benefits and eligibility.
- Prepared billing correspondence and maintained database to organize billing information.
- Managed collections claims for unpaid bills against estates of debtors.
- Posted and adjusted payments from insurance companies.
- Evaluated patients' financial status and established appropriate payment plans.
- Located errors and promptly refiled rejected claims.
- Gathered information from multiple sources to simplify billing and organize accounts.
- Liaised between patients, insurance companies and billing office.
- Orchestrated medical coding, payment posting, accounts receivables and collections.
- Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Managed billing calendar and scheduled claims for payments.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
- Delivered timely and accurate charge submissions.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Prepared accounts with past due balances and transferred those cases to collection agency.
- Adhered to established standards to safeguard patients' health information.
Education
High School Diploma -
Wake Forest - Rolesville High School
Wake Forest, NC06-1992
Skills
- P>Month-end closing procedures
- P>Research and due diligence
- P>Collection practices
- P>Records organization and review
- P>Medical billing experience
- P>Billing systems and software
- P>Accounting remittances
- P>Collections duties
- P>Automated processing
- P>Customer service support
- P>Billing statement review
- P>Collections
- P>Call center experience
- Patient Registration
- Medical Billing
- Claims review
- Writing reports
- HIPAA Compliance
- Verifying insurance
- Analytical Problem Solving
- Collecting payments
- Insurance collaboration
- Insurance Verification
Timeline
Revenue Cycle Specialist
NSN Revenue Resources
09.2023 - Current
Account Resolution Specialist/Team Lead
PBS Radiology Billing Service
03.2022 - Current
Account Resolution Specialist
OrthoNC
11.2021 - 02.2022
Medical Account Advisor
Health Prime (formerly Medbill, Formerly Kareo)
01.2004 - 11.2020
High School Diploma -
Wake Forest - Rolesville High School
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