Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

Camisha Carey

Selma,United States

Summary

Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Hardworking employee with customer service, multitasking and time management abilities. Devoted to giving every customer a positive and memorable experience. Committed job seeker with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.

Overview

16
16
years of professional experience

Work History

Subject Matter Expert

Medtronic
San Antonio, TX
10.2011 - Current
  • Offered one-on-one support for team members and managers to drive continuous improvement.
  • Identified key performance indicators and guided team members on refining procedures to improve outcomes.
  • Assisted in developing and refining standard operating procedures for Medical Collections.
  • Managed client relations training to encourage high prospect-to-client conversion ratios and frequent referrals from past clients.
  • Implemented departmental compliance with established standards and sought out improvement opportunities.
  • Maintained positive working relationship with fellow staff and management.
  • Displayed strong telephone etiquette, effectively handling difficult calls.
  • Analyzed key performance indicators to identify effective strategies.
  • Identified areas for improvement, narrowing focus for decision-makers in making necessary changes.
  • Evaluated needs of departments and delegated tasks to optimize overall production.
  • Conducted research to resolve discrepancies in billing statements.
  • Reviewed and processed patient accounts for collections purposes.
  • Analyzed unpaid medical bills and determined appropriate collection action.
  • Worked with insurance companies to ensure timely reimbursement of claims.
  • Contacted patients via telephone, mail, and email to discuss payment options.
  • Participated in weekly meetings with management team members to review progress towards goals.
  • Took billing calls, questions and concerns from patients and third party carriers.
  • Processed claims and forwarded information to Medicare, Medicaid and commercial insurance companies.
  • Corrected, completed and processed claims for payer codes.
  • Identified discrepancies and carrier issues regarding billing and reimbursements.
  • Attended provider meetings and workshops when appropriate.
  • Recorded information about status of collection efforts.
  • Wrote appeal letters to insurance companies for denial of claims.

Medical Claims Specialist

KCI Medical
San Antonio, TX
05.2011 - 10.2011
  • Verified patient eligibility for medical claims and determined benefit coverage.
  • Submitted and tracked medical claims to insurance companies via electronic or paper methods.
  • Resolved issues related to denied or underpaid claims in a timely manner.
  • Maintained accurate records of all claim activities for audit purposes.
  • Processed appeals on rejected or partially paid claims, including filing additional paperwork as needed.
  • Collaborated with other departments regarding changes to existing processes and procedures.
  • Adhered to HIPAA regulations while managing confidential patient information.
  • Provided feedback on coding errors and discrepancies found in submitted claims.
  • Responded promptly to customer inquiries regarding claim status updates.
  • Reviewed denials, rejections, and underpayments from insurance carriers.
  • Generated reports detailing claim activity metrics such as volume, turnaround time.
  • Provided guidance and training to staff members regarding billing practices and procedures.
  • Reviewed claims for accuracy before submitting for billing.
  • Stayed current on HIPAA regulations, benefits claims processing, medical terminology and other procedures.
  • Reviewed administrative guidelines whenever questions arose during processing of claims.
  • Documented file notes clearly and concisely in Centricity Billing.
  • Sent clinical request and missing information letters to obtain incomplete information.
  • Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
  • Handled modification and updating of policies.

Medical Collections Specialist

Cergis Billing
Dallas, TX
07.2008 - 10.2011
  • Reviewed and processed patient accounts for collections purposes.
  • Analyzed unpaid medical bills and determined appropriate collection action.
  • Conducted research to resolve discrepancies in billing statements.
  • Contacted patients via telephone, mail, and email to discuss payment options.
  • Worked with insurance companies to ensure timely reimbursement of claims.
  • Assisted in the resolution of credit balances due to overpayment or incorrect coding issues.
  • Compiled statistical reports regarding outstanding debts and past due payments.
  • Verified accuracy of invoices prior to submitting them for payment processing.
  • Researched and responded promptly to customer inquiries concerning billing disputes.
  • Collaborated with other departments within the organization to resolve any billing issues.
  • Provided support during audits by providing requested documentation in a timely manner.
  • Participated in weekly meetings with management team members to review progress towards goals.
  • Trained new staff members on proper procedures for collecting payments from customers.
  • Took billing calls, questions and concerns from patients and third party carriers.
  • Processed claims and forwarded information to Medicare, Medicaid and commercial insurance companies.
  • Identified discrepancies and carrier issues regarding billing and reimbursements.
  • Corrected, completed and processed claims for payer codes.
  • Protected medical office operations and integrity by keeping patient information confidential.
  • Attended provider meetings and workshops when appropriate.
  • Used excellent verbal skills to engage customers in conversation and effectively determine needs and requirements.
  • Answered customer questions regarding account discrepancies or problems.
  • Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
  • Performed administrative functions for assigned accounts, recorded address changes and purged records.
  • Wrote appeal letters to insurance companies for denial of claims.

Education

Bachelor of Science - Business Administration And Management

Colorado Technical University
Colorado Springs, CO
11.2023

Skills

  • Project Planning
  • Quantitative Skills
  • Logistics Coordination
  • Data Analysis
  • Inquiry Handling
  • Dispute Negotiation
  • General Accounting
  • Customer Service
  • Account Updating
  • Word Processing
  • Correspondence Preparation
  • Invoice Generation
  • Discrepancy Resolution
  • Administrative Support
  • Customer Account Management
  • Quality Control
  • Decision-Making
  • Account Collections
  • Payment Collection
  • Bill Payment
  • Invoicing and Billing
  • Verbal and Written Communication
  • Team Collaboration
  • Microsoft Office
  • Relationship Building
  • Billing and Invoicing
  • Deadline Adherence
  • Customer Contact

Accomplishments

  • Promoted from Medical Collector II to Subject Matter Expert, in less than 12-months.
  • Created highly effective new program that significantly impacted efficiency and improved operations.
  • Consistently maintained high customer satisfaction ratings.
  • Recognized as Employee of the year in 2012 for outstanding performance and team contributions.

Timeline

Subject Matter Expert

Medtronic
10.2011 - Current

Medical Claims Specialist

KCI Medical
05.2011 - 10.2011

Medical Collections Specialist

Cergis Billing
07.2008 - 10.2011

Bachelor of Science - Business Administration And Management

Colorado Technical University

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Camisha Carey