Chelsea Blomfield
Aubrey
Summary
Results-driven Medical Billing Specialist with extensive experience at First Care Medical Centers. Expert in claim submission and denial management, ensuring compliance with HIPAA regulations. Recognized for enhancing revenue collection through effective communication and patient billing resolution. A quality-oriented team player dedicated to improving billing processes and fostering positive patient experiences.
Medical billing professional with deep expertise in managing patient billing and insurance claims. Strong background in coding, account reconciliation, and compliance with healthcare regulations. Known for collaborating effectively with teams and adapting to changing needs to achieve optimal results. Reliable and detail-focused, ensuring accurate and timely processing of financial information.
Overview
21
21
years of professional experience
Work History
Medical Billing Specialist
RC Billing
10.2020 - 12.2023
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Located errors and promptly refiled rejected claims.
- Identified and resolved patient billing and payment issues.
- 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.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
Medical Billing Specialist
First Care Medical Centers
11.2007 - 06.2010
- Collected payments and applied to patient accounts.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
Medical Billing Auditor
First Care Medical Center
01.2006 - 11.2007
- Conducted thorough audits of billing records to ensure compliance with industry regulations and standards.
- Implemented best practices for effective workflow management, resulting in reduced turnaround time for resolving billing disputes.
Medical Receptionist
First Care Medical Center
10.2002 - 01.2006
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Checked patient insurance, demographic, and health history to keep information current.
- Helped patients complete necessary medical forms and documentation.
- Maintained strict confidentiality of patient information, adhering to HIPAA regulations and medical office policies.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Managed high call volumes, directing calls to appropriate departments while maintaining a polite and professional demeanor.
- Managed multi-line phone system and pleasantly greeted patients.
- Maintained current and accurate medical records for patients.
- Assisted healthcare providers with administrative tasks, enabling them to focus on quality patient care.
Education
Service High School
Anchorage, AK05-1999
Skills
- HIPAA compliance
- Payment posting
- Claim submission
- Insurance verification
- Patient billing
- CPT knowledge
- Denial management
- Bill payment
- Files and records management
- Generally accepted accounting principles (GAAP)
- Quality-oriented team player
- ICD-10 proficiency
- Medicare and medicaid process
- Collections management
Timeline
Medical Billing Specialist
RC Billing
10.2020 - 12.2023
Medical Billing Specialist
First Care Medical Centers
11.2007 - 06.2010
Medical Billing Auditor
First Care Medical Center
01.2006 - 11.2007
Medical Receptionist
First Care Medical Center
10.2002 - 01.2006
Service High School
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