Summary
Overview
Work History
Education
Skills
Timeline
Bianca Richardson

Bianca Richardson

Smithfield,NC

Summary

Detail-oriented and highly skilled Medical Billing and Reimbursement Specialist with extensive experience in claims processing and investigation, reimbursement management, and resolving complex billing discrepancies. Proficient in account reconciliation, verifying patient coverage, and ensuring compliance with healthcare regulations, including HIPAA. Effectively collaborates with cross-functional teams, insurance providers, healthcare professionals, and patients to streamline processes and enhance financial accuracy. Committed to delivering exceptional service and contributing to efficient revenue cycle management.

Overview

11
11
years of professional experience

Work History

Patient Concierge

Millennia
01.2025 - Current
  • Provided personalized support to patients by assisting with billing inquiries, and navigating insurance processes.
  • Explained billing statements, insurance coverage, and payment options to patients, ensuring clarity and resolving any discrepancies.
  • Collaborated with internal teams to verify coverage, process authorizations, and assist patients with financial assistance programs.
  • Addressed patient concerns regarding charges, co-pays, and outstanding balances, offering solutions to facilitate payment.
  • Handled sensitive financial and medical information in compliance with HIPAA regulations and organizational policies.
  • Assisted patients in understanding their treatment costs and guided them through payment plans or financial counseling resources.
  • Resolved complex billing concerns by liaising with appropriate departments to ensure timely and accurate resolution.
  • Supported administrative tasks, including processing payments, generating invoices, and confirming appointment details.

FSA/HSA Reimbursements Specialist

CustomerHD
04.2024 - 12.2024
  • Process and review FSA (Flexible Spending Account) and HSA (Health Savings Account) reimbursement claims with accuracy and within required timeframes.
  • Verify claim eligibility according to IRS guidelines and plan-specific policies.
  • Communicate with participants to request additional documentation or clarify claim information.
  • Maintain up-to-date knowledge of FSA/HSA regulations to ensure compliance and accuracy in claim processing.
  • Resolve participant inquiries via phone and email, providing clear explanations of reimbursement processes and account balances.
  • Collaborate with internal teams to escalate and resolve complex reimbursement issues.
  • Maintained detailed records of all transactions and communications in the customer relationship management (CRM) system.

PEC Rep Tier 3

Mercalis - Tek System
08.2023 - 03.2024
  • Processed and applied patient copay assistance payments accurately to ensure timely coverage of medication costs.
  • Verified patient eligibility for copay programs in accordance with program guidelines and payer requirements.
  • Collaborated with healthcare providers, pharmacies, and insurance companies to resolve payment discrepancies and expedite claims.
  • Responded to inbound calls from patients and providers regarding copay program status, balances, and payment issues.
  • Maintained detailed records of all transactions and communications in the customer relationship management (CRM) system.
  • Ensured compliance with HIPAA regulations and internal privacy policies when handling sensitive patient information.
  • Identified and escalated complex reimbursement issues to management for timely resolution.
  • Provided education to patients and providers on program benefits, eligibility criteria, and application procedures.

Barista

Starbucks
10.2022 - 06.2023
  • Maintained a clean and organized workspace for optimal productivity and safety.
  • Promoted a welcoming atmosphere by greeting customers with a friendly demeanor and promptly addressing their needs.
  • Pleasantly interacted with customers during hectic periods to promote fun, positive environment.
  • Contributed to a positive team environment through effective communication and collaboration with colleagues.

Customer Service Cashier

Victory Vending
09.2021 - 12.2022
  • Processed cash, chips, tokens, and credit card transactions accurately and efficiently at cashier cages.
  • Provided courteous and professional service to guests while handling exchanges, redemptions, and payouts.
  • Verified and balanced cash drawers at the beginning and end of each shift to ensure accuracy and prevent discrepancies.
  • Conducted regular audits of cash drawers and cage inventory to identify and resolve discrepancies promptly.
  • Followed strict security procedures when handling large cash amounts and conducting transactions.
  • Maintained detailed transaction records and prepared reports for supervisory review.
  • Handled guest inquiries regarding promotions, loyalty programs, and gaming procedures.
  • Identified and reported suspicious activity.
  • Ensured all transactions complied with gaming commission regulations and internal casino policies.
  • Assisted in resolving customer disputes and escalating issues to management when necessary.
  • Monitored and managed cage inventory, ensuring sufficient cash and chip supplies were available during operations.

Assistant Teacher

A Child's Place
02.2021 - 09.2021
  • Supported lead teachers in implementing daily lesson plans focused on early childhood development and education.
  • Supervised children during classroom activities, outdoor play, and meal times to ensure a safe and nurturing environment.
  • Assisted with preparing educational materials, organizing classroom supplies, and setting up activity stations.
  • Encouraged positive behavior through reinforcement techniques and conflict resolution strategies.
  • Maintained a clean, organized, and child-friendly classroom space in accordance with health and safety guidelines.
  • Fostered open communication with parents by providing updates on daily activities and child behavior.
  • Supported children with diverse needs, ensuring inclusivity and individual attention.
  • Applied Behavioral Analysis (ABA)

Entrepreneur/Small Business Owner

Qweendelacreme beauty
02.2020 - Current
  • New small business owner with a beauty/health line
  • 3D mink lashes
  • Handmade soaps, lip glosses, body scrubs, body butters, and lotions
  • Maintaining a clean and sanitized workspace
  • All hand-made items are 100% organic and cruelty free

Delivery Driver

Amazon
02.2019 - 02.2021

(T.L. Transportation, RVA Deliveries, The Pierce Group)

  • Safely and efficiently delivered packages daily to residential and commercial locations while adhering to strict timelines.
  • Maintained accurate delivery records using handheld devices, ensuring real-time tracking and reporting of package status.
  • Provided exceptional customer service by addressing inquiries, resolving delivery issues, and ensuring customer satisfaction.
  • Conducted pre- and post-trip vehicle inspections to ensure operational safety and reported any maintenance concerns.
  • Loaded and organized packages in the delivery vehicle to optimize route efficiency and minimize damage.
  • Navigated various routes using GPS technology, adapting to traffic conditions to meet delivery deadlines.
  • Adhered to all safety protocols and company procedures to ensure secure and compliant operations..

Deposit Representative

Teleperformance
07.2018 - 02.2019
  • Third party call center for USAA banking.
  • Assisted customers with ACH payments and money transfers.
  • Verified account information and deposit details to ensure compliance with banking regulations and fraud prevention protocols.
  • Researched and resolved discrepancies related to deposit errors, returned items, and rejected transactions.
  • Provided exceptional customer service by responding to inquiries regarding account balances, deposit statuses, and transaction issues.
  • Collaborated with internal departments to escalate and resolve complex deposit-related concerns.
  • Educated customers on deposit procedures and account management best practices to prevent future issues.


Front Desk Clerk/Night Auditor

Econo Lodge
05.2017 - 02.2018
  • Performed nightly audits of hotel revenue and transactions to ensure accuracy in daily financial reports.
  • Checked in arriving guests and provided outstanding customer service throughout overnight hours.
  • Balanced and reconciled cash drawers, credit card transactions, and guest folios at the end of each shift.
  • Handled guest inquiries, complaints, and special requests promptly and professionally.
  • Monitored hotel security.
  • Managed overnight phone calls, reservation modifications, and wake-up call requests.
  • Processed end-of-day procedures to ensure smooth transition to morning operations.
  • Maintained a clean and welcoming lobby area for incoming guests.
  • Followed all hotel policies, cash handling procedures, and safety protocols during overnight shifts.

Intern

UNC Chapel Hill
06.2015 - 08.2015
  • Business Management Internship with UNC Multicultural Affairs Building
  • Provided administrative support to staff by managing schedules, coordinating meetings, and preparing event materials.
  • Assisted in planning and executing multicultural programs, workshops, and campus-wide events promoting diversity and inclusion.
  • Created and distributed promotional materials, including flyers, newsletters, and social media posts to increase event engagement.
  • Assisted with data entry and research projects to support office goals and improve program outcomes.

Intern/Head Bank Teller

Woodforest National Bank
08.2014 - 06.2015
  • Shadowed senior banking staff to gain hands-on experience in daily branch operations and customer service practices.
  • Assisted with account openings, deposits, withdrawals, and general teller transactions under supervision.
  • Supported the team with filing, data entry, and document verification to maintain accurate customer records.
  • Greeted and directed customers, providing exceptional service while answering general banking inquiries.
  • Learned compliance standards and proper handling of confidential financial information.

Education

Bachelor of Science - Accounting

Southern New Hampshire University, Hooksett, NH
05-2027

No Degree - Accounting

Virginia Union University, Richmond
05-2019

Skills

  • Proficient in Task Management
  • Reliability and punctuality
  • Patient confidentiality
  • Exceptional communication
  • Medical terminology
  • Cultural Awareness
  • Healthcare systems
  • Time management proficiency
  • Cross-Functional Collaboration
  • Active listening
  • Customer Relationship Management Expertise
  • Transaction Management Expertise
  • Accurate Data Entry
  • Microsoft Software Expertise

Timeline

Patient Concierge - Millennia
01.2025 - Current
FSA/HSA Reimbursements Specialist - CustomerHD
04.2024 - 12.2024
PEC Rep Tier 3 - Mercalis - Tek System
08.2023 - 03.2024
Barista - Starbucks
10.2022 - 06.2023
Customer Service Cashier - Victory Vending
09.2021 - 12.2022
Assistant Teacher - A Child's Place
02.2021 - 09.2021
Entrepreneur/Small Business Owner - Qweendelacreme beauty
02.2020 - Current
Delivery Driver - Amazon
02.2019 - 02.2021
Deposit Representative - Teleperformance
07.2018 - 02.2019
Front Desk Clerk/Night Auditor - Econo Lodge
05.2017 - 02.2018
Intern - UNC Chapel Hill
06.2015 - 08.2015
Intern/Head Bank Teller - Woodforest National Bank
08.2014 - 06.2015
Southern New Hampshire University - Bachelor of Science, Accounting
Virginia Union University - No Degree, Accounting
Bianca Richardson