Carolyn Holden
Baker,LA
Summary
Personable Insurance Verifier looking to tackle new responsibilities in the medical insurance verification field. Organized and efficient with over 10 + years of experience. Adept at verifying patient insurance coverage information and validating patient billing information.
Overview
31
31
years of professional experience
Work History
Medical Insurance
Pathology Group of Louisiana
5339 O'Donovan Dr, Baton Rouge, Louisiana 70808
09.2019 - Current
- Conducted thorough reviews of denied claims, identifying errors or missing information before resubmitting corrections for payment approval.
- Contributed to positive relationships with insurance companies through consistent follow-up and prompt issue resolution.
- Increased patient satisfaction by efficiently processing insurance claims and addressing inquiries.
- Researched and resolved complex medical claims issues to support timely processing.
- Reviewed provider coding information to report services and verify correctness.
Medical Biller/Receptionist
Eye Specialists Of Louisiana
6220 Perkins Rd, Baton Rouge, Louisiana 70808
06.2016 - 08.2019
- 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.
- Collected payments and applied to patient accounts.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
Patient Account Representative
Medical Business Consultants
11736 Newcastle Ave, Baton Rouge, Louisiana 70816
08.2006 - 06.2016
- Coding, posting payments and charges. Claim processor for Commercial, Medicare and Medicaid claims. Bill claims through EDI and work rejections. Claims auditor for all accounts requested by insurance companies. Follow-up on unpaid claims, appeals and refunds. Research return mail and aged accounts.
- Promoted a positive work environment by actively participating in team meetings and contributing ideas for process improvements.
Clerical Leader
LMCMS-ACS, LLC
11736 Newcastle Ave, Baton Rouge, Louisiana 70816
09.1993 - 03.2004
- Oversaw day-to-day activities of data entry employees for medical billing contract for the La Dept of Health and Hospital and (OPH) Office of Public Health.
- Responsible for training all new hire and assigned duties.
- Work with operation managers om claims initiatives, interact with OPH clinical personnel for forms completion and billing questions.
- Weekly back-up of claims, run tape to submit to OPH for eligibility problems and filed claims electronically weekly to fiscal agent.
Education
Associate of Arts - Business
Delgado Community College
New Orleans, LA01.1980
Skills
- Medical insurance knowledge
Timeline
Medical Insurance
Pathology Group of Louisiana
09.2019 - Current
Medical Biller/Receptionist
Eye Specialists Of Louisiana
06.2016 - 08.2019
Patient Account Representative
Medical Business Consultants
08.2006 - 06.2016
Clerical Leader
LMCMS-ACS, LLC
09.1993 - 03.2004
Associate of Arts - Business
Delgado Community College