Proven Medical Biller with extensive experience at Kadlec Regional Medical Center, adept in insurance billing and claims, showcasing a remarkable ability to enhance revenue collections by over 30%. Skilled in customer service and HIPAA compliance, I excel in reducing claim denials and improving patient satisfaction through clear financial communication and efficient billing practices. Professional with strong expertise in medical billing, bringing reliable and adaptable approach to navigating evolving needs. Proven track record in team collaboration and achieving results through effective communication and problem-solving. Skilled in coding, claims processing, and patient account management, with keen eye for accuracy and compliance. Known for dependability and focus on efficiency, ready to contribute to streamlined billing operations.
Overview
16
16
years of professional experience
Work History
Medical Biller
Kadlec Regional Medical Center
07.2017 - Current
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.
Collected payments and applied to patient accounts.
Posted payments and collections on regular basis.
Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
Maintained compliance with industry regulations by staying updated on changes to medical billing codes and requirements.
Delivered timely and accurate charge submissions.
Collaborated with healthcare providers, ensuring accurate documentation for seamless billing operations.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Supported efficient scheduling practices by verifying patient eligibility and coverage prior to appointments.
Resolved discrepancies in accounts receivable reports, contributing to improved cash flow management.
Improved patient satisfaction levels with clear explanations of their financial responsibilities and available payment options.
Trained new team members in medical billing software, increasing efficiency within the department.
Organized filing system for patient records, expediting access to essential documents when needed.
Conducted regular audits of billing records to ensure accuracy and completeness, enhancing overall financial performance for the practice.
Prepared billing statements for patients and verified correct diagnostic coding.
Adhered to established standards to safeguard patients' health information.
Reviewed outstanding balances owed by patients; initiated collection actions if necessary resulting in improved account recovery efforts.
Assisted patients in understanding insurance benefits, leading to a positive experience during their visit.
Reviewed patient diagnosis codes to verify accuracy and completeness.
Conducted detailed analyses of billing cycles to identify patterns and implement strategies for reducing delays in payments.
Maintained up-to-date knowledge of billing software and healthcare regulations, contributing to department's compliance and efficiency.
Receptionist/Biller
Tri-City Neurology
03.2009 - 07.2017
Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
Confirmed appointments, communicated with clients, and updated client records.
Answered phone promptly and directed incoming calls to correct offices.
Kept reception area clean and neat to give visitors positive first impression.
Resolved customer problems and complaints.
Handled cash transactions and maintained sales and payments records accurately.
Streamlined front desk operations for increased efficiency by effectively managing phone calls, emails, and walk-in clients.
Responded to inquiries from callers seeking information.
Maintained a well-organized reception area with updated materials, contributing to a welcoming environment for visitors.
Answered central telephone system and directed calls accordingly.
Supported office efficiency by performing clerical tasks such as data entry, photocopying, scanning, and faxing documents.
Corresponded with clients through email, telephone, or postal mail.
Demonstrated strong multitasking abilities while managing numerous tasks simultaneously under tight deadlines.
Handled sensitive information with discretion while maintaining strict confidentiality standards.
Enhanced customer satisfaction by promptly addressing inquiries and providing accurate information.
Provided administrative support to staff members by handling correspondence, filing documents, and managing office supplies inventory.
Provided clerical support to company employees by copying, faxing, and filing documents.
Improved appointment scheduling system, reducing wait times and increasing client satisfaction.
Followed up with appropriate parties to obtain prompt payments.
Managed a high volume of invoices, prioritizing workload to meet deadlines and maintain cash flow.
Streamlined the billing process by automating data entry tasks, leading to improved efficiency and accuracy.
Generated detailed financial reports for management review, highlighting trends and potential areas for improvement.
Education
No Degree - Medical Billing
Columbia Basin College
Pasco, WA
Skills
Insurance claims
Insurance billing
Medical billing
Electronic claims
Medicaid Billing
Medicare Billing
Commercial Insurance Billing
HIPAA compliance
Insurance verification
Patient billing
Billing and collection procedures
CPT knowledge
Accounts receivable
Insurance claims processing
Claim submission
Data entry
Medicare and medicaid process
CMS-1500 billing forms
Denial management
Claims processing
Payment posting
ICD-10
Electronic health record software
Claims review
Patient account analysis
Medical terminology expert
Medical claims submission
Records management
Multitasking and organization
Account reconciliation
Data analysis
Accounts receivable management
Account management
Collections management
Proficiency in Microsoft word, excel, powerpoint
Proficiency in Epic, Shavara, Centricity
Timeline
Medical Biller
Kadlec Regional Medical Center
07.2017 - Current
Receptionist/Biller
Tri-City Neurology
03.2009 - 07.2017
No Degree - Medical Billing
Columbia Basin College
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