Driven Medical Billing Specialist with proven expertise in insurance claims and patient billing, honed at Proactive Physical & Aquatic Rehabilitation. Excelled in HIPAA compliance and fostering patient relations, achieving significant improvements in claims resolution efficiency. Skilled in CPT knowledge and adept at managing high-stress customer interactions, enhancing customer loyalty at Marriott.
Overview
22
22
years of professional experience
Work History
Medical Billing Specialist
Proactive Physical & Aquatic Rehabilitation
Scottsdale, AZ
01.2023 - Current
Communicated with insurance providers to resolve denied claims and resubmitted.
Posted and adjusted payments from insurance companies.
Communicated effectively and extensively with other departments to resolve claims issues.
Located errors and promptly refiled rejected claims.
Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
Identified and resolved patient billing and payment issues.
Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Collected payments and applied to patient accounts.
Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
Efficiently processed refunds or adjustments for patients when necessary, ensuring accuracy and compliance with company policies.
Customer Service Representative
Marriott
Salt Lake City, UT
05.2002 - 08.2004
Handled customer inquiries and suggestions courteously and professionally.
Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
Answered customer telephone calls promptly to avoid on-hold wait times.
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.