Chandler McDowell
Fredericksburg,VA
Summary
Results-driven professional with comprehensive experience in multi-specialty account management, focusing on building strong client relationships and driving business growth. Adept at credentialing, resolving claim denial issues, and aligning services with client needs. Proven success in fostering team collaboration and adapting to dynamic environments, showcasing excellent communication and problem-solving skills.
Overview
8
8
years of professional experience
Work History
Account Manager - Billing and Credentialing
Viance Health Solutions
05.2021 - Current
- Managed a diverse portfolio of accounts for various specialties, ensuring timely communication and effective problem resolution.
- Provide monthly reports from EHR software, as well as internal reports on specific patient accounts
- Communicated effectively and extensively with other departments to resolve claims issues.
- Managed multiple priorities effectively, resulting in the on-time completion of credentialing tasks for numerous providers simultaneously.
- Reduced errors in credentialing files by conducting thorough reviews and consistently maintaining attention to detail.
Treatment Coordinator
Advanced Dental Care
08.2020 - 04.2021
- Verified dental benefits and obtained pre-authorizations prior to scheduling new patient appointments and routinely updated insurance verifications for established patients in efforts to collect patient payments at the time of service
- Researched and reconciled any billing errors and included attachments/narratives prior to sending out clean claims
- Maintained detailed records of patient treatments, ensuring accurate billing and efficient followups.
- Increased case acceptance rates through persuasive presentation of treatment options and benefits.
- Explained treatment choices to patients and helped determine best options while creating a welcoming atmosphere for patients and their families.
Patient Care Coordinator
PL Physicians
07.2019 - 08.2020
- Triaged incoming calls on a multi-line phone system, directed calls to the appropriate department and addressed customer needs
- Collected copays, patient balances and initiated payment plans for delinquent balances
- Coordinated specialist referrals and prescription requests
- Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
- Streamlined patient admission processes, reducing wait times and improving overall efficiency.
Scheduling Coordinator
Go Smiles
10.2017 - 10.2018
- Proactively identified scheduling issues and developed quick solutions to promote efficiency and profitability.
- Worked closely with other departments to resolve complex scheduling conflicts or accommodate special requests from patients or physicians.
- Organized waiting lists for high-demand services, ensuring timely access for priority cases or cancellations.
- Achieved higher patient satisfaction ratings through consistent follow-up on appointment concerns or changes.
- Followed up with patients to reschedule missed appointments.
Medical Billing Specialist
Children's Heart Institute
01.2017 - 09.2017
- Streamlined billing processes by implementing efficient workflows and utilizing advanced software tools.
- Worked effectively with medical payers such as Medicare, Medicaid and Commercial insurance plans
- Reduced errors in medical billing by meticulously reviewing patient records and ensuring accurate coding.
- Posted and adjusted payments from insurance companies.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Continuously updated knowledge of industry regulations and compliance requirements, ensuring adherence to all applicable standards.
- Increased overall efficiency of the billing department by regularly auditing internal procedures and suggesting improvements.
Education
High School Diploma -
Broad Run High School
Ashburn, VA06.2014
Skills
- Verbal and written communication
- Familiar with Medicare, Medicaid and Commercial insurance carriers
- Adept at prioritizing/managing deadlines
- Independent judgement and decision making
- Experience with several EHR software and clearinghouses
- Medical billing and coding
- Billing cycle expertise
- Credentialing Procedures
Timeline
Account Manager - Billing and Credentialing
Viance Health Solutions
05.2021 - Current
Treatment Coordinator
Advanced Dental Care
08.2020 - 04.2021
Patient Care Coordinator
PL Physicians
07.2019 - 08.2020
Scheduling Coordinator
Go Smiles
10.2017 - 10.2018
Medical Billing Specialist
Children's Heart Institute
01.2017 - 09.2017
High School Diploma -
Broad Run High School
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