CAROLINE POOLE
Manson
Summary
Dynamic and detail-oriented Lead Certified Medicare Biller at Lake Chelan Health, skilled in medical claims submission and insurance verification. Proven ability to enhance billing accuracy and patient satisfaction through critical thinking and effective communication. Adept at managing electronic health records and fostering collaboration among healthcare teams.
Overview
19
19
years of professional experience
Work History
Lead Certified Medicare Biller
Lake Chelan Health
06.2019 - Current
- Filed and updated patient information and medical records.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Posted payments and collections on regular basis.
- Liaised between patients, insurance companies, and billing office.
- Proficient in Medicare DDE
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Collected payments and applied to patient accounts.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
Patient Care Coordinator /Front Desk Lead
ProAction Physical Therapy
09.2010 - 06.2019
- Delivered excellent patient experiences and direct care.
- Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Offered simple, clear explanations to help clients and families understand hospital policies and procedures.
- Trained new staff on filing, phone etiquette and other office duties.
- Verified patient insurance eligibility and entered patient information into system.
- Followed document protocols to safeguard confidentiality of patient records.
- Answered incoming calls, scheduled appointments and filed medical records.
- Organized patient records and database to facilitate information storage and retrieval.
- Collected room deposits, fees, and payments.
Senior Administrative Assistant
Lowry and Associates
01.2007 - 06.2010
- Coordinated office activities and public events.
- Prepared and distributed team-based communications to foster collaboration and enhance team morale.
- Coached new employees on administrative procedures, company policies, and performance standards.
- Kept files and records in content management systems such as MS SharePoint, EXCEL and others.
- Coordinated trainings for new team members, overseeing onboarding details.
- Arranged business travel details for company employees per supervisor requirements.
- Managed Auditors assignments and work inventory, due dates and Ins correction requests
Education
High School Diploma -
Monroe High School
Monroe, WAMedical Biller/ Coder Certification -
US Career Institute
Fort Collins, COSkills
- Electronic health records management
- Accounts receivable management
- Insurance verification
- Critical thinking
- Medical claims submission
- ICD-10
- CMS-1500 billing forms
- Proficiency in Medicare DDE
Timeline
Lead Certified Medicare Biller
Lake Chelan Health
06.2019 - Current
Patient Care Coordinator /Front Desk Lead
ProAction Physical Therapy
09.2010 - 06.2019
Senior Administrative Assistant
Lowry and Associates
01.2007 - 06.2010
High School Diploma -
Monroe High School
Medical Biller/ Coder Certification -
US Career Institute