Carla Poma
South Lyon,MI
Summary
Professional with comprehensive experience in front office operations, adept at managing high-volume environments with efficiency and poise. Known for strong communication skills, organizational abilities, and keen attention to detail. Collaborative team player focused on achieving results and adapting to changing needs seamlessly. Proficient in scheduling, customer service, and administrative support, ensuring smooth daily operations.
Overview
43
43
years of professional experience
Work History
Medical Insurance Biller
Michigan Medical Billing Specialist, LLC
03.1982 - Current
- Contributed to company growth by accurately analyzing trends in denial rates, payer mix, and other key performance indicators relevant to revenue cycle management.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Liaised between patients, insurance companies, and billing office.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Educated patients about their financial responsibilities and available payment options, helping reduce unpaid accounts receivable balances.
- Expedited payment turnaround time with efficient follow-up on outstanding claims, addressing issues as necessary.
- Streamlined claim processing for faster payments by maintaining accurate patient records and insurance information.
- Supported team members during periods of high workload or staff absences, ensuring uninterrupted service delivery in medical insurance billing operations.
- Optimized the use of practice management software systems for more efficient claim generation and submission processes.
- Enhanced overall revenue collection by identifying and resolving billing discrepancies proactively.
- Reduced claim denials by effectively communicating with healthcare providers to obtain necessary documentation and information.
- Prepared detailed monthly reports highlighting key metrics such as collections ratio, days in accounts receivable, and percentage of aged accounts for management review.
- Provided training sessions for new employees on best practices in medical insurance billing procedures and guidelines.
- Ensured timely reimbursement for services by submitting clean claims to insurance carriers promptly.
- Supported team members in resolving complex or escalated billing issues, fostering a positive work environment focused on problem solving.
- Improved patient billing accuracy by diligently reviewing and editing medical insurance claims.
- Maintained strict compliance with federal and state regulations, ensuring proper coding practices were followed consistently.
- Verified insurance of patients to determine eligibility.
- Posted payments and collections on regular basis.
- Collected payments and applied to patient accounts.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Filed and updated patient information and medical records.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Delivered timely and accurate charge submissions.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Adhered to established standards to safeguard patients' health information.
- 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.
- Audited and corrected billing and posting documents for accuracy.
- Collaborated with customers to resolve disputes.
- Maintained accurate records of customer payments.
- Generated monthly billing and posting reports for management review.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
- Created improved filing system to maintain secure client data.
Receptionist
Anthony Kilbane, M.D.
12.2024 - 03.2025
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Confirmed appointments, communicated with clients, and updated client records.
- Answered phone promptly and directed incoming calls to correct offices.
- Kept reception area clean and neat to give visitors positive first impression.
- Resolved customer problems and complaints.
- Handled cash transactions and maintained sales and payments records accurately.
- Responded to inquiries from callers seeking information.
- Streamlined front desk operations for increased efficiency by effectively managing phone calls, emails, and walk-in clients.
Patient Registrar
Corewell Health
11.2017 - 06.2024
- Ensured patient privacy and confidentiality, adhering to HIPAA regulations in handling sensitive personal information.
- Trained new Patient Registrars on best practices, fostering consistency in work quality across the team members.
- Facilitated timely check-in by greeting visitors and establishing purpose of visits.
- Enhanced data accuracy by diligently verifying insurance coverage, demographic information, and other essential details.
- Reduced wait times for patients by expediting the check-in process through proficient multitasking abilities.
- Managed high-stress situations calmly and professionally while prioritizing multiple competing demands during peak hours or emergency situations.
- Collected and processed co-payments and out-of-pocket charges using Epic Software.
- Imaged and scanned patient and registration documentation into electronic patient records.
- Maintained a well-organized work environment, ensuring easy access to necessary documents and materials for efficient daily operations.
- Improved patient satisfaction by efficiently and accurately gathering necessary information during registration.
- Maintained up-to-date knowledge of hospital policies, procedures, and insurance requirements to provide accurate information to patients during registration.
- Contributed to a positive patient experience by providing exceptional customer service and addressing any concerns or questions throughout their visit.
- Collected payments and co-pays from customers using large variety of insurance programs, adjusting amounts based on specific plan directives.
- Explained financial responsibilities to patients as well as payment options and potential collection procedures imposed upon patients and other responsible parties.
- Supported hospital revenue goals by accurately collecting co-payments and deductible amounts at the time of service.
- Ensured prompt resolution of discrepancies in patient accounts, working closely with billing specialists to address outstanding balances or payment issues.
- Increased patient satisfaction scores by consistently providing compassionate and empathetic support during the registration process.
- Verified insurance coverage to confirm patient coverage for necessary medical services.
- Gathered demographic and insurance information to register patients for medical appointments.
- Maintained clean and organized workspaces to promote smooth operation and easy access to patient information.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Education
Associate of Applied Science - Health Information Technology
Schoolcraft College
Livonia, MI06-1982
Skills
- HIPAA compliance awareness
- ICD-10 knowledge
- Claims processing proficiency
- Denial resolution techniques
- Accounts receivable management
- Medical coding expertise
- Payment posting
- Medical terminology mastery
- Insurance appeals handling
- Claim submission efficiency
- Attention to detail
- Problem-solving
- Reimbursements
- Insurance collections
- CPT code modifiers
- Account follow-up
- ICD-10
- HCPCS level II coding
- Thomas/Genius Solutions software proficient
- Medical billing software proficiency
- Medical terminology
- Organization skills
Timeline
Receptionist
Anthony Kilbane, M.D.
12.2024 - 03.2025
Patient Registrar
Corewell Health
11.2017 - 06.2024
Medical Insurance Biller
Michigan Medical Billing Specialist, LLC
03.1982 - Current
Associate of Applied Science - Health Information Technology
Schoolcraft College
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