Callie Mhire
Welsh,LA
Summary
Experienced Billing Insurance Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering 10 years of experience and willingness to take on any challenge.
Overview
9
9
years of professional experience
Work History
Medical-billing-professional
Lake Charles Memorial Health System
01.2015 - 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.
- 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.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Identified and resolved patient billing and payment issues.
- Demonstrated a high level of accuracy and attention to detail in reviewing claim documentation for approval or denial decisions.
Education
Associate - Medical Insurance And Coding Specialist
Academy of Acadiana
Lake Charles, LA07.2014
Associates - Medical Office Assistant
Academy of Acadiana
Lake Charles, La05.2014
High School Diploma -
Lacassine High School
Lacassine, LA05.2010
Skills
- HIPAA Compliance
- Payment posting
- Claim submission
- Insurance Verification
- Patient Billing
- CPT Knowledge
- Denial Management
- ICD-10 Proficiency
- Medical Billing
- CMS-1500 Billing Forms
- Appeals Process Proficiency
Timeline
Medical-billing-professional
Lake Charles Memorial Health System
01.2015 - Current
Associate - Medical Insurance And Coding Specialist
Academy of Acadiana
Associates - Medical Office Assistant
Academy of Acadiana
High School Diploma -
Lacassine High School
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