Summary
Overview
Work History
Education
Skills
Timeline
Generic

Carissa Irog

Pasco,WA

Summary

Dynamic Medical Biller with extensive experience at U.S. Medical Billing Services LLC, adept at optimizing insurance claims and enhancing revenue cycle management. Proven track record in denial management and customer service, utilizing advanced billing software to reduce claim rejections significantly while fostering strong relationships with patients and insurance providers.

Overview

20
20
years of professional experience

Work History

Medical Biller

Thomas Tan MD PC
01.2017 - 04.2025
  • Collaborated with healthcare providers, ensuring accurate documentation for seamless billing operations.
  • Established strong relationships with insurance representatives, facilitating prompt resolution of billing issues.
  • Conducted regular audits of billing records to ensure accuracy and completeness, enhancing overall financial performance for the practice.
  • Streamlined billing processes by implementing efficient procedures to improve accuracy and reduce errors.
  • Reduced instances of denied claims, carefully reviewing and rectifying coding errors before submission.
  • Advanced department's electronic billing capabilities, leading training sessions for staff on new software features.
  • Improved patient satisfaction by providing clear explanations of billing procedures and addressing billing inquiries promptly.
  • Streamlined patient billing process, resulting in reduced processing time by implementing efficient coding practices.
  • Optimized reimbursement process with insurance companies by establishing effective communication channels.
  • Enhanced accuracy of insurance claims with meticulous verification and updating of patient records.
  • Responded to customer concerns and questions on daily basis.
  • Used data entry skills to accurately document and input statements.
  • Handled account payments and provided information regarding outstanding balances.
  • Generated monthly billing and posting reports for management review.
  • Processed payment via telephone and in person with focus on accuracy and efficiency.
  • Maintained accurate records of customer payments.
  • Reconciled accounts receivable to general ledger.
  • Processed medical claims using advanced billing software to ensure timely reimbursements.
  • Implemented workflow improvements that streamlined billing operations and reduced processing time.
  • Verified insurance of patients to determine eligibility.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Filed and updated patient information and medical records.
  • Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
  • Collected payments and applied to patient accounts.
  • 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.
  • Acted as liaison between healthcare providers and insurance companies; resolved disputes quickly while maintaining positive relationships.
  • Orchestrated transition to ICD-10 coding system, minimizing disruptions to billing operations.
  • Cultivated strong relationships with patients and insurance companies, contributing to environment of trust and mutual respect.

Front Desk Receptionist

Tri-City Cardiovascular Institute Inc
07.2014 - 12.2017
  • Managed patient scheduling and appointment confirmations, ensuring efficient workflow and optimal patient experience.
  • Coordinated communication between medical staff and patients, enhancing information flow and service delivery.
  • Oversaw front desk operations, maintaining a welcoming environment for patients and visitors.
  • Processed patient intake forms accurately, ensuring compliance with healthcare regulations and procedures.
  • Resolved patient inquiries and concerns promptly, contributing to high levels of patient satisfaction and retention.
  • Scheduled, coordinated and confirmed appointments and meetings.

Medical Biller

U. S. Medical Billing Services LLC
09.2005 - 06.2014
  • Processed medical claims using advanced billing software to ensure timely reimbursements.
  • Reviewed patient records for accuracy, ensuring compliance with regulations and minimizing claim rejections.
  • Coordinated with insurance providers to resolve discrepancies and expedite payment processes.
  • Trained junior staff on billing procedures and system usage, fostering a collaborative work environment.
  • Implemented workflow improvements that streamlined billing operations and reduced processing time.
  • Analyzed billing data to identify trends and enhance revenue cycle management strategies.
  • 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.
  • Liaised between patients, insurance companies, and billing office.
  • 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.
  • Acted as liaison between healthcare providers and insurance companies; resolved disputes quickly while maintaining positive relationships.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • 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.
  • Prepared billing statements for patients and verified correct diagnostic coding.
  • Reviewed outstanding balances owed by patients; initiated collection actions if necessary resulting in improved account recovery efforts.
  • Adhered to established standards to safeguard patients' health information.
  • Assisted patients in understanding insurance benefits, leading to a positive experience during their visit.
  • Reviewed patient records, identified medical codes, and created invoices for billing purposes.
  • Cultivated strong relationships with patients and insurance companies, contributing to environment of trust and mutual respect.
  • Orchestrated transition to ICD-10 coding system, minimizing disruptions to billing operations.
  • Maintained up-to-date knowledge of billing software and healthcare regulations, contributing to department's compliance and efficiency.

Education

Associate of Science - Liberal Arts And Sciences

Columbia Basin College
Pasco, WA
05-1994

Skills

  • Insurance claims
  • Insurance billing
  • Medicare and medicaid process
  • Data entry
  • CMS-1500 billing forms
  • Denial management
  • Payment posting
  • Electronic health record software
  • ICD-10 proficiency
  • HIPAA compliance
  • Billing and collection procedures
  • Customer service
  • Accounts receivable
  • Medical billing
  • Electronic claims
  • Multitasking and organization
  • Accounts receivable management
  • AdvancedMD software use, Office Ally, Practice Fusion, Medical Manager

Timeline

Medical Biller

Thomas Tan MD PC
01.2017 - 04.2025

Front Desk Receptionist

Tri-City Cardiovascular Institute Inc
07.2014 - 12.2017

Medical Biller

U. S. Medical Billing Services LLC
09.2005 - 06.2014

Associate of Science - Liberal Arts And Sciences

Columbia Basin College

Similar Profiles

CREATE PROFILE
Carissa Irog