Carlos Spencer
Chesapeake,VA
Summary
Logical Medical Biller proudly offers many years of experience reviewing accounts and maintaining patient records. Driven professional with background in medical terminology and coding. Recognized task prioritization expertise in fast-paced environments.
Overview
18
18
years of professional experience
Work History
Medical Billing Associate
OrthoVirginia
Richmond, VA
10.2022 - Current
- In a timely manner, managed unpaid claim reviews, investigations and successful resolutions with nearly 90% of cases
- Detailed adherence to contract allocation of major medical providers such as Medicare, United Healthcare, AARP, Aetna, Anthem and other small and major commercial payments to corresponding accounts resulting in correct payments of funds
- Demonstrated active listening, kindness and conflict resolution to help patients find resolutions to account concerns and questions resulting in increased company revenue
- Experienced liaison between clients, office and billing staff on policies and procedures of insurance companies
- Accurately posted charge entry and coding resulting in reduced denials
Medical Billing Associate
Foot and Ankle of Va
Mechanicsville, VA
08.2015 - 09.2017
- In a timely manner, managed unpaid claim reviews, investigations and successful resolutions with nearly 90% of cases
- Detailed adherence to contract allocation of major medical providers such as Medicare, United Healthcare, AARP, Aetna, Anthem and other small and major commercial payments to corresponding accounts resulting in correct payments of funds
- Demonstrated active listening, kindness and conflict resolution to help patients find resolutions to account concerns and questions resulting in increased company revenue
- Experienced liaison between clients, office and billing staff on policies and procedures of insurance companies
- Accurately posted charge entry and coding resulting in reduced denials
Medical Billing Associate
Pulmonary Associates of Richmond
Richmond, VA
11.2008 - 06.2015
- In a timely manner, managed unpaid claim reviews, investigations and successful resolutions with nearly 90% of cases
- Detailed adherence to contract allocation of major medical providers such as Medicare, United Healthcare, AARP, Aetna, Anthem and other small and major commercial payments to corresponding accounts resulting in correct payments of funds
- Demonstrated active listening, kindness and conflict resolution to help patients find resolutions to account concerns and questions resulting in increased company revenue
- Experienced liaison between clients, office and billing staff on policies and procedures of insurance companies
- Accurately posted charge entry and coding resulting in reduced denials
- (Reduction in Force)
Medical Billing Associate
Commonwealth Primary Care
Richmond, VA
11.2006 - 11.2008
- Managed 3000+ Anthem accounts including unpaid claim reviews, investigations and successful resolutions
- Experienced with detailed adherence to contract allocation of major medical providers such as Medicare, United Healthcare, AARP, Aetna, Anthem and other small and major commercial payments to corresponding accounts resulting in correct payments of funds
- Helped patients find resolutions to account concerns and questions resulting in increased company revenue
- Accurately posted charge entry and coding resulting in reduced denials
- Coordinated between clients, office and billing staff on policies and procedures of insurance companies
- (Reduction in Force)
Education
A.A. - Public Health
University of South Carolina
Sumter, SCBusiness Courses -
Sergeant Reynolds Community College
Richmond, VAProfessionalaffiliation
AAPC - American Association of Professional Coders, Member / Certification Pending
Computerskillsandsoftware
- Microsoft
- Greenway Medical Systems
- Allscripts Medical Systems both PM and EMR
Military Service
- U.S. Air Force, Public Health: Epidemiology, Communicable Diseases, Food Inspection
- Virginia Army National Guard, Public Health, Desert Shield/Storm Veteran
Timeline
Medical Billing Associate
OrthoVirginia
10.2022 - Current
Medical Billing Associate
Foot and Ankle of Va
08.2015 - 09.2017
Medical Billing Associate
Pulmonary Associates of Richmond
11.2008 - 06.2015
Medical Billing Associate
Commonwealth Primary Care
11.2006 - 11.2008
A.A. - Public Health
University of South Carolina
Business Courses -
Sergeant Reynolds Community College