Seasoned Billing Coordinator and Financial Counselor with a proven track record at Cancer Center of Middle Georgia, adept in insurance verification and offering exceptional patient advocacy. Enhanced billing operations by implementing innovative solutions, achieving over 120 daily insurance approvals. Demonstrates meticulous attention to detail and strong financial literacy, ensuring accuracy and efficiency in patient billing and claims processing.
Overview
6
6
years of professional experience
Work History
Billing Coordinatior and Financial Counselor
Cancer Center of Middle Georgia
Dublin
10.2023 - Current
Distributed or posted financial data to appropriate accounts and prepare simple reconciliations.
Analyzed changes in policies, procedures, regulations affecting billing operations.
Performed data entry and reconciliation of financial transactions.
Received written chemo regimens for approval from insurance.
Received payments from insurance, processed payments, and posted to patient accounts.
Worked with a collection agency to receive payments from patients on past-due balances.
I ran patient insurance for treatment approval for over 120 patients each day.
Processed clarification logs through the superbill to ensure charges on the patient's account are properly sent to insurance.
Processed orders from mid-level providers daily for approval.
Implemented innovative technology solutions to enhance meeting engagement and efficiency.
Developed agendas for meetings and events, ensuring timely completion of all tasks.
Created monthly reports summarizing collections activity and billing trends.
Monitored changes in federal, state, and local regulations affecting Medicare and Medicaid reimbursements.
Verified documentation methodically to avoid critical errors impacting care delivery and payments for services.
Opened and processed all mail correspondence for the practice.
Organized timely and accurate referrals to help patients obtain health care services and access available resources.
Participated in training programs designed to improve customer service skills related to billing processes.
Obtained informed consent and payment documentation from patients and filed in system.
Assisted patients in understanding the details of their bills, including deductibles and co-pays.
Coordinated communications between patients, billing personnel and insurance carriers.
Completed and submitted appeals for denied claims.
Medical Records Director
Dublinair Health & Rehab
07.2022 - 09.2023
Coordination of staff to ensure that records are accurately kept and stored.
Designing and implementing policies for record-keeping and storage of documents.
Ensured that patients receive quality care by providing support to health care professionals.
Maintained the confidentiality of patient records by following HIPAA guidelines.
Reviewed medical records for accuracy and completeness before releasing them to patients, or other healthcare providers.
Reviewed physician requests for records, and released them as appropriate.
Reviewed medical records to ensure they are accurate, up-to-date, and complete.
Trained staff in procedures for handling medical records.
Assisted in organizing, planning, and directing the medical records section in accordance with established policies.
Collect, assemble, check, and file resident charts and personal records as required.
Prepared medical records for review and ongoing medical evaluation studies.
Assisted in admission, transfer, and discharge procedures as necessary.
Prepared written correspondence as necessary.
Helped residents exercise and/or protect their rights.
Reported residents' and family complaints or concerns to the Director of Nursing or Administrator.
Maintained medical records in accordance with federal, state, and local standards, guidelines, and regulations.
Medical Records Receptionist
Eastman Pediatric
09.2021 - 07.2022
A medical receptionist is employed at clinics and hospitals to facilitate recordkeeping and communication in the health sector.
The primary duty is to function as a point of contact for patients before and after appointments, documenting interactions, and keeping track of files as required.
Informed doctors of test results or schedule modifications.
Securely collect patient data, and input it into electronic and physical databases for easy access, providing hard copies of patient files to additional doctors and insurance when required.
Greeting patients professionally, both in person and on the phone.
Quickly answering or properly referring to questions and issues.
Optimizing provider schedules and patient satisfaction with efficient scheduling.
Notifying providers of patient arrivals.
Comforting patients by anticipating anxieties and effectively answering questions.
Ensuring the availability of treatment information by retrieving and updating patient records.
Verifying financial records, collecting patient charges, and filing and expediting third-party claims.
Maintaining office inventory and equipment by anticipating supply needs, and expediting supply orders.
Perform moderately difficult assignments when work procedures are present, and guidelines are set by the physician.
Team Leader
Tractor Supply
08.2019 - 09.2021
Resolved customer issues to restore confidence and meet contract terms.
Coached the team to develop skills and overcome weaknesses to reach goals.
Collaborated with the team to encourage open sharing of ideas and solutions.
Guided employees in handling difficult, complex problems, or resolving escalated complaints or disputes.
Interviewed and selected potential new team members from the list of candidates recommended by the recruitment team.
Managed downtime well to minimize production disruptions.
Prevented or resolved conflict before escalation, to build a stronger team.
Coordinated resources and equipment to help employees meet daily targets.
Organized teams through meetings, brainstorming ideas, and goal progress to meet project deadlines.
Assigned projects and distributed tasks to team members based on areas of expertise.
Utilized forklifts, pallet jacks, and scanning devices to meet daily objectives.
Moved materials throughout the distribution center, and placed products in designated areas.
Prepare meeting documents for the corporate team, including responses to routine inquiries, reports, letters, goals, and other related budget needs.
Checked completed products and shipments to verify labeling, stock, or staging locations.
Adhered to OSHA and company-established safety protocols.
Inspected and maintained warehouse equipment, following preventive maintenance scheduling.
I cleaned the inside and outside of the vehicle regularly to remove debris and maintain a professional appearance.
Addressed customer inquiries and resolved complaints.
Audited previous shift systems and procedures to ascertain integrity and completeness.
Analyzed income effectively by managing net revenue at the store level.
Delegated and ordered, received, stored, and issued equipment and supplies to minimize loss from waste or theft.
Reorganized the sales floor to enable customers to easily find popular items.
Oversaw daily operations with a practiced eye, focusing on efficiency, team collaboration, and process improvements.
Managed employees, scheduled shifts, determined and provided training needs, and conducted performance reviews.
Education
Associates of science - Allied Health
South Georgia State College
01.2021
Diploma -
Oakdale High School
01.2018
Bachelor of Science - Business Administration And Management
Middle Georgia State University
Macon, GA
Skills
Insurance verification
Payment processing
Billing reconciliation
Claims submission
Patient advocacy
Medical record management
Effective communication
Attention to detail
Financial literacy
Relationships and rapport
Telephone etiquette
Budget planning
Payment negotiation
Financial advice
Financial counseling
Time management
Patient billing
Claims processing
Medicaid
References
References available upon request.
Timeline
Billing Coordinatior and Financial Counselor
Cancer Center of Middle Georgia
10.2023 - Current
Medical Records Director
Dublinair Health & Rehab
07.2022 - 09.2023
Medical Records Receptionist
Eastman Pediatric
09.2021 - 07.2022
Team Leader
Tractor Supply
08.2019 - 09.2021
Associates of science - Allied Health
South Georgia State College
Diploma -
Oakdale High School
Bachelor of Science - Business Administration And Management
Middle Georgia State University
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