Chantell Campbell
Midlothian,VA
Summary
Developed skills in high-pressure healthcare environment, including team leadership and patient care management. Looking to transition into new field, leveraging experience in clinical coordination and healthcare compliance. Committed to applying strong foundation in healthcare to contribute effectively in different professional setting.
Overview
8
8
years of professional experience
Work History
Authorization Specialist
HCA Parallon
01.2025 - Current
- Processed authorization requests efficiently within compliance guidelines.
- Analyzed documentation for accuracy, ensuring timely approvals and denials.
- Collaborated with healthcare providers to resolve discrepancies in patient information.
- Led training sessions for new team members on authorization protocols and systems.
AR Billing Specialist
Zotec Partners
11.2021 - 03.2023
- A/R reports
- Billing insurance companies
- Medicaid/Medicare billing and verification
- Submitted bills for reimbursement to private insurers, Medicaid and Medicare
- Managed claim payment adjustments
- Resolves denials, rejection and zero EOBs (explanation of benefits) from insurance carriers.
Medical Claims Processor
BroadPath LLC
09.2021 - 03.2023
- Processing medical claims
- Checking for authorization
- Adjusting claims to pay correct
- Reprocessing claims
Medical Biller
UHS of Delaware, Inc
02.2020 - 09.2021
- A/R reports
- Billing insurance companies
- Medicaid/Medicare billing and verification
- Submitted bills for reimbursement to private insurers, Medicaid and Medicare
- Managed claim payment adjustments
- Resolves denials, rejection and zero EOBs (explanation of benefits) from insurance carriers.
Medical Biller
ENT AND ALLERGY ASSOCIATES
09.2019 - 02.2020
- A/R reports
- Pre bill
- Medicaid/Medicare billing and verification
- Billing insurance companies
- Submitted bills for reimbursement to private insurers, Medicaid and Medicare
- Managed claim payment adjustments
- Examine patient bills for accuracy and request any missing information
- Investigate and appeal denied claims
- Help patients develop patient payment plans.
Medical Biller, ADVANCED SPECIALTY CARE
07.2017 - 07.2019
- Checking eligibility and benefits verification for treatments, hospitalizations, and procedures
- Reviewing patient bills for accuracy and completeness and obtaining any missing information
- Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing
- Following up on unpaid claims within standard billing cycle timeframe
- Checking each insurance payment for accuracy and compliance with contract discount
- Calling insurance companies regarding any discrepancy in payments if necessary
- Identifying and billing secondary or tertiary insurances
- Reviewing accounts for insurance of patient follow-up.
Education
High School Diploma -
Stamford Academy
Stamford, CT06.2009
No Degree - Surgical Tech
Brightpoint Community College
Midlothian05-2027
Skills
- Health insurance expertise
- Excellent Interpersonal Skills
- Excellent Phone Skills
- Various Practice Management Software
- Claim Entry & Payment Posting
- Records Organization & Management
- Insurance & Patient Aging
- HIPAA Compliance
- Online Claim Submission & ERA Technology Summary
- Medical Billing
- Medical Coding
- DME
- Microsoft Office
- Medical Records
- Accounts Receivable
- EMR Systems
- Insurance Verification
- ICD-9
- Medical Office Experience
- Anatomy Knowledge
- Patient Care
- Data Entry
- Medical Scheduling
- ICD Coding
- Microsoft Excel
- ICD-10
- Phone Etiquette
- Cerner
- Documentation review
- Customer service
- CPT
- Medical Terminology
- Experienced in MS Office (Word, Excel, Outlook)
- AdvancedMD
- Nextgen EHR
- Epic
- Allscripts
- IDX
- EClinicalWorks (3 years)
- Flexible schedule
- People skills
Additional Information
- Willing to relocate: Anywhere, Authorized to work in the US for any employer Authorized to work in the US for any employer
Relocation
Willing to relocate: Anywhere
Timeline
Authorization Specialist
HCA Parallon
01.2025 - Current
AR Billing Specialist
Zotec Partners
11.2021 - 03.2023
Medical Claims Processor
BroadPath LLC
09.2021 - 03.2023
Medical Biller
UHS of Delaware, Inc
02.2020 - 09.2021
Medical Biller
ENT AND ALLERGY ASSOCIATES
09.2019 - 02.2020
Medical Biller, ADVANCED SPECIALTY CARE
07.2017 - 07.2019
High School Diploma -
Stamford Academy
No Degree - Surgical Tech
Brightpoint Community College