Detail-oriented medical billing professional skilled in managing high-volume accounts receivable and ensuring accurate claim submissions. Proficient in resolving insurance discrepancies and performing in-depth follow-ups to secure payments, consistently achieving productivity targets while maintaining compliance with industry standards.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Billing and Follow-Up - Government Billing and Follow-Up
Trinity Health Enterprise Patient Financial Services
Columbus
09.2019 - Current
Manage high-volume medical billing and accounts receivable follow-up while consistently meeting productivity and accuracy standards.
Submit and review paper and electronic Medical and dental coding claims and CMS 1500 claims, including claim corrections and re-submissions for denied or rejected claims.
Researched insurance denials and payment discrepancies, performing detailed follow-up to resolve claims and secure payments.
Processed EOBs, verified insurance responsibility, managed prior authorizations, and identified primary and secondary payer requirements.
Utilize Microsoft Word, Excel, Outlook, and medical billing software to track claims activity, document account updates, and maintain communication among team members.
Provided customer service to patients and insurance representatives, addressing billing questions, payment issues, and account balances.
Maintain strong attention to detail while managing multiple tasks and priorities throughout the workday.
Experienced working within revenue cycle operations including payment posting, insurance follow-up, and patient account review.
Familiar with medical terminology, insurance claims processes, and healthcare billing workflows.
Infant Teacher
Bright Horizons
Columbus
05.2016 - 01.2019
Created and implemented developmentally appropriate curriculum that addressed all learning styles.
Promoted language development skills through reading and storytelling.
Recorded daily observations of children's activities, behaviors, meals, and naps to track individual development.
Provided quarterly educational assessments to parents, highlighting children's progress and developmental milestones.
Strong communication skills, Customer service and parent communication, Organization and multitasking, Documentation and record keeping, Attention to detail, Problem solving and conflict resolution, Time management, Scheduling and coordination, Ability to work in fast-paced environments, Team collaboration, Confidentiality and professionalism, Managing multiple priorities at once, Data entry and administrative support and Patience and adaptability.
Infant/Preschool Teacher
The Oxford School
Dublin
04.2015 - 01.2016
Created and implemented developmentally appropriate curriculum that addressed all learning styles.
Promoted language development skills through reading and storytelling.
Maintained daily records of children's activities, behaviors, meals, and naps to track development and ensure individualized care.
Distributed quarterly educational assessments to parents, providing insights into children's progress and fostering parent-teacher communication.
Strong communication skills, Customer service and parent communication, Organization and multitasking, Documentation and record keeping, Attention to detail, Problem solving and conflict resolution, Time management, Scheduling and coordination, Ability to work in fast-paced environments, Team collaboration, Confidentiality and professionalism, Managing multiple priorities at once, Data entry and administrative support and Patience and adaptability.
Preschool Teacher
YMCA Head Start Cherry Creek
Columbus
01.2013 - 01.2015
Maintained daily records of children's activities, behaviors, meals, and naps to track individual progress and well-being.
Promoted good behaviors by using the positive reinforcement method.
Created and implemented developmentally appropriate curriculum that addressed all learning styles.
Distributed quarterly educational assessments to parents to provide insights into children's developmental milestones and learning achievements.
Supervised children on field trips to local parks, fire stations, and zoos, ensuring safety while enhancing their learning experiences through exploration.
Strong communication skills, Customer service and parent communication, Organization and multitasking, Documentation and record keeping, Attention to detail, Problem solving and conflict resolution, Time management, Scheduling and coordination, Ability to work in fast-paced environments, Team collaboration, Confidentiality and professionalism, Managing multiple priorities at once, Data entry and administrative support and Patience and adaptability.
Preschool Teacher
Hilltop Educare Centre
Columbus
01.2005 - 01.2013
Promoted language development skills through reading and storytelling.
Used positive reinforcement to effectively redirect negative behaviors and foster a supportive classroom environment.
Facilitated small group and individual activities tailored to meet diverse learning needs, enhancing student engagement and understanding.
Provided minor first aid to injured students, ensuring their safety and well-being during school hours.
Strong communication skills, Customer service and parent communication, Organization and multitasking, Documentation and record keeping, Attention to detail, Problem solving and conflict resolution, Time management, Scheduling and coordination, Ability to work in fast-paced environments, Team collaboration, Confidentiality and professionalism, Managing multiple priorities at once, Data entry and administrative support and Patience and adaptability.
Fan Photographer
Printroom Fan Photography
Columbus
01.2012 - 08.2012
Executed photo shoots with professionalism, ensuring a positive experience for clients.
Clarified pricing and package options to assist customers in making informed decisions.
Edited images by cropping, manipulating, and adjusting color balance to enhance final presentation.
Cashier
Target
Columbus
01.2004 - 01.2005
Welcomed customers upon entering the store.
Executed cash transactions with precision, ensuring customer satisfaction.
Checked out customers and efficiently bagged items, enhancing shopping experience.
Stocked, priced, and organized merchandise to maintain store presentation and availability.
Payment handling, customer service, accuracy, and fast-paced work.
Education
High School Diploma -
Briggs High School
Columbus, Ohio, United States
06-2006
Certificate - Early Childhood Education
Fort Hayes Metropolitan Education Center
Columbus, Ohio, United States
Skills
Revenue cycle
Insurance claims
Medical billing software
Claims processing
Insurance verification
Payment processing
Medical records
Attention to detail
Microsoft office
Microsoft Word
Time management
Multitasking
Collaboration techniques
Customer service focus
Claims resolution
Certification
Certificate, Early Childhood Education, Fort Hayes Metropolitan Education Center, Columbus, Ohio, United States
High School Diploma, Briggs High School, Columbus, Ohio, United States
Accomplishments
Gained expertise in all aspects of all medical billing including filing claims, re-filing rejected claims, and adjusting payments.
Timeline
Billing and Follow-Up - Government Billing and Follow-Up
Trinity Health Enterprise Patient Financial Services
Led cross-functional teams to manage daily spare order processing, ensuring seamless coordination between service, stores, and finance teams. Maintained high order accuracy and reduced communication gaps across departments.Trained over 100+ service engineers on CRM workflows, POD updates, and return processes during HO commercial trainings. Improved field team compliance and reduced repeat errors by over 20%.Owned end-to-end order lifecycle, including documentation, dispatches, POD tracking, and MIS reporting with minimal supervision. Enabled faster turnaround and higher accuracy in daily operations.Acted as a central escalation point between field engineers, HO departments, and senior managers to resolve system and order-related issues. Reduced escalations by ensuring proactive resolution within SLA timelines.Managed return spare process and validations, driving a 25% reduction in turnaround time and improving system accuracy. Ensured proper coordination with service and stores for smooth transaction closures.Initiated Kaizen process improvements for workflow automation, documentation, and order validation. Reduced manual work by 30% and helped in faster issue identification.Collaborated with IT team to test and implement new CRM workflows and resolve service module-related bugs. Ensured seamless migration and better user experience for the service team.Created and presented MIS reports for weekly DRM meetings and management reviews. Supported data-driven decisions and provided insights on pending and completed orders.Monitored pending orders and stock validations daily across CFA locations. Achieved 15% reduction in follow-up delays by implementing checklist-based follow-ups.Handled distributor and spot-visit orders, ensuring compliance with internal policies and faster processing. Reduced lead time by 20% with improved documentation and follow-ups.Supervised stock accuracy across locations and led reconciliation activities with store teams. Brought down discrepancies by 15% through structured checking and documentation.Prepared CRM master data and validated engineer records for smooth CRM transition. Increased CRM accuracy by 25% before new system rollout.Managed price lists and quotations, communicating with teams to ensure correct rates and GST compliance. Prevented billing errors and improved customer satisfaction on pricing clarity.Maintained GEM and E-Invoice portal compliance, uploading documents accurately to meet government requirements. Ensured zero rejection in audits and smoother order execution for public sector clients.Followed up on loan spare recoveries, ensuring 95% payment recovery by accurate tracking and coordination with accounts. Reduced pending dues and ensured clean financial closure of orders. at Transasia Bio-Medicals LtdLed cross-functional teams to manage daily spare order processing, ensuring seamless coordination between service, stores, and finance teams. Maintained high order accuracy and reduced communication gaps across departments.Trained over 100+ service engineers on CRM workflows, POD updates, and return processes during HO commercial trainings. Improved field team compliance and reduced repeat errors by over 20%.Owned end-to-end order lifecycle, including documentation, dispatches, POD tracking, and MIS reporting with minimal supervision. Enabled faster turnaround and higher accuracy in daily operations.Acted as a central escalation point between field engineers, HO departments, and senior managers to resolve system and order-related issues. Reduced escalations by ensuring proactive resolution within SLA timelines.Managed return spare process and validations, driving a 25% reduction in turnaround time and improving system accuracy. Ensured proper coordination with service and stores for smooth transaction closures.Initiated Kaizen process improvements for workflow automation, documentation, and order validation. Reduced manual work by 30% and helped in faster issue identification.Collaborated with IT team to test and implement new CRM workflows and resolve service module-related bugs. Ensured seamless migration and better user experience for the service team.Created and presented MIS reports for weekly DRM meetings and management reviews. Supported data-driven decisions and provided insights on pending and completed orders.Monitored pending orders and stock validations daily across CFA locations. Achieved 15% reduction in follow-up delays by implementing checklist-based follow-ups.Handled distributor and spot-visit orders, ensuring compliance with internal policies and faster processing. Reduced lead time by 20% with improved documentation and follow-ups.Supervised stock accuracy across locations and led reconciliation activities with store teams. Brought down discrepancies by 15% through structured checking and documentation.Prepared CRM master data and validated engineer records for smooth CRM transition. Increased CRM accuracy by 25% before new system rollout.Managed price lists and quotations, communicating with teams to ensure correct rates and GST compliance. Prevented billing errors and improved customer satisfaction on pricing clarity.Maintained GEM and E-Invoice portal compliance, uploading documents accurately to meet government requirements. Ensured zero rejection in audits and smoother order execution for public sector clients.Followed up on loan spare recoveries, ensuring 95% payment recovery by accurate tracking and coordination with accounts. Reduced pending dues and ensured clean financial closure of orders. at Transasia Bio-Medicals Ltd