Carla Swanson
Portland,TN
Summary
Resourceful Patient Account Representative focused on patient care and customer service. Friendly and adaptable professional. Demonstrated abilities to resolve even the toughest challenges. Approachable Medical Claims Processor proudly offering over 20 years' experience in handling multiple administrative responsibilities in fast-paced office environments. Hardworking professional interacting with providers to discuss claim status or denials. Attentive to details and highly collaborative.
Overview
27
27
years of professional experience
Work History
Patient Account Representative
Advanced Billing Consultants
Goodlettsville, TN
02.2020 - 12.2023
- Provided customer service to patients regarding billing inquiries and account information.
- Assisted in resolving patient complaints related to account balances, insurance coverage, and payment plans.
- Processed payments from patients and maintained accurate records of all transactions.
Medical Claims Processor
Southern Benefit Administrators
Goodlettsville, TN
06.1997 - 02.2019
- Reviewed medical claims for accuracy and completeness, verifying patient eligibility and coding.
- Ensured compliance with insurance company policies and procedures related to the processing of claims.
- Investigated discrepancies in medical billing information such as incorrect codes or amounts due.
- Experience with Pharmacy Benefit Management and obtaining authorizations.
- Processed a high volume of claims on a daily basis using established time frames.
- Researched claim denials and appeals to determine appropriate resolution.
Education
High School Diploma -
Portland High School
Portland, TN05-1994
Skills
- Insurance Verification
- Medical Billing
- File coordination
- Coding
- Administrative Support
- Critical Decision-Making
- Provider Relations
- Communication Skills
Affiliations
I love to hike, would love to complete all TN State Parks. Also, enjoy gardening and anything outdoors.
Timeline
Patient Account Representative
Advanced Billing Consultants
02.2020 - 12.2023
Medical Claims Processor
Southern Benefit Administrators
06.1997 - 02.2019
High School Diploma -
Portland High School
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