Catherine M Boley
Grosse Pointe Park,MI
Summary
Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information.
Overview
23
23
years of professional experience
Work History
Medical Insurance Biller
Grosse Pointe Pediatrics Internal Medicine
01.2016 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Collaborated with customers to resolve disputes.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
- Monitored outstanding invoices and performed collections duties.
- Handled account payments and provided information regarding outstanding balances.
- Utilized various software programs to process customer payments.
- Liaised between patients, insurance companies, and billing office.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Verified insurance of patients to determine eligibility.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Adhered to established standards to safeguard patients' health information.
- Filed and updated patient information and medical records.
- Posted payments and collections on regular basis.
- Collected payments and applied to patient accounts.
- Delivered timely and accurate charge submissions.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
Medical Receptionist Ophthalmology Biller
Dr Gamil Soliman
02.2001 - 12.2021
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Checked patient insurance, demographic, and health history to keep information current.
- Helped patients complete necessary medical forms and documentation.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Processed medical insurance claims and payments.
- Registered and verified patient records before triage with most up-to-date information.
Education
No Degree - Business
Macomb County Community College
Warren MiHigh School Diploma -
Grosse Pointe South High School
Grosse Pointe Farms, MI06.1979
Skills
- Medicare and Medicaid Processes
- Statement Billings
- Medical Billing
- ICD-10 Coding
- Billing Codes
- CMS-1500 Billing Forms
- Benefits Verifications
- CPT Code Modifiers
- Payments Posting
- HIPAA Compliance
- Electronic Health Record Software
- Medical Claims Submission
Timeline
Medical Insurance Biller
Grosse Pointe Pediatrics Internal Medicine
01.2016 - Current
Medical Receptionist Ophthalmology Biller
Dr Gamil Soliman
02.2001 - 12.2021
No Degree - Business
Macomb County Community College
High School Diploma -
Grosse Pointe South High School
Similar Profiles
Mackenzie WiseMackenzie Wise
LPN Nursing Supervisor at Auburn Internal Medicine & PediatricsLPN Nursing Supervisor at Auburn Internal Medicine & Pediatrics
Srdan Stojkovic M.D.Srdan Stojkovic M.D.
Clinical Assistant at Northern Virginia Internal Medicine And PediatricsClinical Assistant at Northern Virginia Internal Medicine And Pediatrics
Megan CullenMegan Cullen
Medical Receptionists at Licking Valley Internal Medicine And PediatricsMedical Receptionists at Licking Valley Internal Medicine And Pediatrics