Catherine Clemons
Hammond,Louisiana
Summary
Positive, organized, and detail-focused, with strong foundation in medical billing practices and terminology, I excel in accurately processing patient information and claims. Adept in using billing software and ensuring compliance with healthcare regulations, I maintain meticulous records and resolve discrepancies efficiently. Committed to optimizing revenue cycle management and enhancing operational efficiency.
Overview
12
12
years of professional experience
Work History
Medical Billing Specialist
Vitreoretinal Institute
Baton Rouge, LA
02.2019 - 05.2020
- Processed medical claims using advanced billing software to ensure timely reimbursement.
- Reviewed patient accounts for accuracy, resolving discrepancies efficiently.
- Communicated with insurance companies to verify coverage and address claim denials.
- Maintained up-to-date knowledge of coding regulations and billing guidelines.
- Collaborated with healthcare providers to gather necessary documentation for claims submission.
- Enhanced patient satisfaction by providing clear explanations of billing statements and processes.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Located errors and promptly refiled rejected claims.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Collected payments and applied to patient accounts.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
Medical Billing Specialist
Eye Specialists Of Louisiana
Baton Rouge, LA
05.2018 - 02.2019
- Analyzed billing reports to identify trends and improve operational efficiency.
- Assisted in training new staff on billing procedures and software utilization.
- Identified and resolved patient billing and payment issues.
- Assisted patients with understanding their medical bills, and provided clarification on complex insurance issues, promoting a positive customer experience.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
- Processed payment via telephone and in person, with a focus on accuracy and efficiency.
- Audited and corrected billing and posting documents for accuracy.
- Produced and mailed monthly statements to customers, and assisted with related requests for information and clarification.
- Used data entry skills to accurately document and input statements.
- Utilized various software programs to process customer payments.
- Collaborated with customers to resolve disputes.
- Adhered to established standards to safeguard patients' health information.
- Delivered timely and accurate charge submissions.
- Posted payments and collections on a regular basis.
- Accurately entered patient demographic and billing information in the billing system to enable tracking history and maintain accurate records.
- Verified insurance of patients to determine eligibility.
Education
Diploma - Medical Office Specialist
Medical Training College
Baton Rouge, LA12-2013
No Degree - Business Administration
Baton Rouge Community College
Baton Rouge, LA01-2012
Certification And Diploma - Esthetician
Aveda Institute
Covington, LA01-2011
High School Diploma -
Oak Forest Academy
Amite, LA05-2010
Skills
- Claims processing expertise
- Patient account oversight
- Insurance policy validation
- Efficient payment reconciliation
- Claim denial resolution
- ICD-9 coding accuracy
- CPT coding compliance
- Billing software utilization
- Customer service communication
- Discrepancy resolution
- Claims submission timeliness
- Data entry accuracy
- Patient payment collection
- Health information safeguarding
- HIPAA compliance
- Claim submission
- Patient billing
- Denial management
- Medicare and medicaid process
- Bill payment
- Accounts payable
- Collections management
- Insurance billing
- Medical billing
- Data entry
Quote
There is a powerful driving force inside every human being that, once unleashed, can make any vision, dream, or desire a reality.
Tony Robbins
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Medical Billing Specialist
Vitreoretinal Institute
02.2019 - 05.2020
Medical Billing Specialist
Eye Specialists Of Louisiana
05.2018 - 02.2019
Diploma - Medical Office Specialist
Medical Training College
No Degree - Business Administration
Baton Rouge Community College
Certification And Diploma - Esthetician
Aveda Institute
High School Diploma -
Oak Forest Academy