Cheryl Porter
Hollywood,Alabama
Summary
Detail-oriented office manager with 15+ years of experience in skilled nursing facility (Senior Population) , specializing in billing and administrative operations. Proven expertise in managing Medicare, Medicaid, and HMO/PPO claims, while ensuring efficient office management and customer service. Strong leadership and organizational skills, positive relationships with clients and team members to enhance operational efficiency. Successful at efficiently handling client inquiries and resolving issues timely working independently.
Retired from 38 years of service with one employer. I am looking for remote job to share my professional customer service in assisting senior population.
Overview
38
38
years of professional experience
Work History
Medical Office Management/Billing Specialist
Cumberland Health and Rehab (Senior Population)
08.1986 - 07.2024
- Bill Skilled Nursing Claims for Senior Population
- Prepare and Request Skilled Nursing Prior Authorization
- Process Medicare, Medicaid and HMO/PPO Billing and Billing Issues Timely along with Check Provider Eligibility
- Lead and Manage Financial Reports
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Worked professionally with multiple departments to check proper billing information.
- Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
- Maintained detailed records of each account''s payment history, providing easy access to information for audit and analysis purposes.
- Reduced errors in financial records by conducting regular audits of billed accounts.
- Contributed to improved financial reporting by reconciling discrepancies.
- Assisted in transition to electronic billing, reducing paper waste and improving operational efficiency.
- Developed user-friendly billing guide for patients, improving their understanding and satisfaction with billing process.
- Maintained up-to-date knowledge of billing regulations and compliance requirements, ensuring adherence to legal standards.
- Collaborated with healthcare team to ensure billing codes were accurately applied, optimizing reimbursement from insurance companies.
- Negotiated with insurance companies to resolve disputed claims, securing rightful payments.
- Improved customer satisfaction with prompt and clear communication regarding their billing inquiries with clear phone etiquette.
- Fostered strong relationships with healthcare providers and insurance representatives to facilitate efficient resolution of billing issues timely.
- Responded to customer concerns and questions on daily basis.
- Collaborated with customers to resolve disputes.
Education
Some College (No Degree) - Medical
Northeast Community College
Rainsville, AlabamaSkills
- Effective organizational skills
- Microsoft Excel / Office
- Professional phone communication
- Effective time management independently
- Skilled in Microsoft Word functionalities
- Client support
- Insurance eligibility verification
- Accurate data entry
- Effective decision-making
- Compliance with HIPAA standards
- Denial management
- Customer relationship management with patience
- Records organization and review
- Problem-solving timely and accurately
- TEAMS
- Multi Task ability to talk and type
- Customer service support
Timeline
Medical Office Management/Billing Specialist
Cumberland Health and Rehab (Senior Population)
08.1986 - 07.2024
Some College (No Degree) - Medical
Northeast Community College
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