Christian Roberts
Lancaster,PA
Summary
Analytical medical biller successful at resolving disputes and billing inquiries. Detail-oriented individual with several years of experience performing intricate billing procedures with undeniable level of detail. Familiar with private and commercial insurance carriers.
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
25
25
years of professional experience
Work History
Medical Biller, Accounts Receivable
North Pointe Surgery Center
Lebanon , PA
05.2019 - 10.2024
- Resolved discrepancies on patient accounts by contacting the insurance companies or patients.
- Provided customer service to both internal and external customers regarding billing inquiries.
- Performed data entry functions for entering new patient information into the system.
- Processed credit card payments and other forms of payment received from patients or insurance companies.
- Monitored delinquent accounts by sending collection letters, making phone calls., to resolve outstanding balances due.
- Analyzed medical coding issues, identified errors, made corrections, and followed up with insurance providers on denied claims as necessary.
- Applied HIPAA privacy and security regulations while handling patient information.
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
- Completed and submitted appeals for denied claims.
- Submitted appeals using provider portals and phone communication.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Answered customer questions to maintain high satisfaction levels.
- Submitted claims to insurance companies.
- Collected, posted and managed patient account payments.
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
Medical Biller, Accounts Receivable
Change Healthcare
Lancaster , PA
05.2005 - 02.2019
- Compiled and processed data for billing purposes utilizing billing software programs.
- Submitted electronic claims to various insurance carriers.
- Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
- Performed daily reconciliation of accounts receivable with payment postings on the computer system.
- Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
- Ensured compliance with HIPAA guidelines when handling confidential patient information.
- Processed refunds requests timely and accurately according to established protocols.
- Completed and submitted appeals for denied claims.
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Applied HIPAA privacy and security regulations while handling patient information.
- Submitted appeals using provider portals and phone communication.
- Coordinated communications between patients, billing personnel and insurance carriers.
- Distributed or posted financial data to appropriate accounts and prepare simple reconciliations.
- Collected, posted and managed patient account payments.
- Resolved discrepancies on patient accounts by contacting the insurance companies or patients.
- Processed credit card payments and other forms of payment received from patients or insurance companies.
Customer Service Representative
Pennsylvania Department of Transportation
Lancaster , PA
11.2004 - 05.2005
- Answered customer inquiries and provided accurate information regarding products and services.
- Provided excellent customer service to resolve customer complaints in a timely manner.
- Developed strong relationships with customers by providing personalized assistance and support.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
- Used approved scripts to de-escalate angry customers during telephone interactions.
Travel Consultant
TMTC
Orlando, Florida
09.1999 - 11.2004
- Provided customers with detailed information about travel destinations and packages.
- Developed customized travel plans to meet customer needs and preferences.
- Created itineraries for customers, including flight bookings, car rentals and hotel reservations.
- Responded promptly to customer inquiries via phone, email or in-person contact.
- Maintained an up-to-date knowledge of industry trends, seasonal promotions and available products.
- Processed payments from customers using a variety of methods such as credit cards, cash or checks.
- Used company tools and systems to complete requests.
- Helped clients achieve lowest fairs fares and minimize risks of penalties.
- Processed credit and debit payments and handled confidential information with discretion.
- Explained benefits of purchasing travel insurance with clients.
- Used successful consultative strategies to close new package sales.
- Asked open-ended questions to best understand client needs and determine best travel offerings.
Education
High School Diploma -
Hempfield High School
Landisville, PA06-1988
Skills
- Medical billing software
- HIPAA Compliance
- Insurance Verification
- Accounts receivable management
- Payment posting
- Collections experience
- Claim submission
- Information requests
- Multitasking and Organization
- Teamwork and Collaboration
- Commercial and Private Insurance
- Billing and Collection Procedures
- Accounts Receivable
- Knowledgeable in EPIC system
- Knowledgeable in Navinet, Availity systems
Timeline
Medical Biller, Accounts Receivable
North Pointe Surgery Center
05.2019 - 10.2024
Medical Biller, Accounts Receivable
Change Healthcare
05.2005 - 02.2019
Customer Service Representative
Pennsylvania Department of Transportation
11.2004 - 05.2005
Travel Consultant
TMTC
09.1999 - 11.2004
High School Diploma -
Hempfield High School
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