Summary
Overview
Work History
Education
Skills
References
Timeline
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CHRISTINA ESTES

Summary

Efficient billing professional with 25 years of experience, consistently delivering exceptional results. Known for productivity and diligence, with a true passion for resolving discrepancies through meticulous attention to detail and creative problem-solving. Committed to upholding company values, maintaining an impeccable work ethic and drive, ensuring excellence in all tasks.

Overview

27
27
years of professional experience

Work History

Senior Account Receivables Physician Medical Billing

UPMC Presbyterian
08.2019 - 06.2024
  • Resolved complex billing issues through thorough research, analysis, and effective communication with relevant parties.
  • Established strong relationships with insurance representatives through clear communication channels fostering collaborative problem-solving approaches when addressing claim disputes or delayed payments.
  • Utilized advanced analytical skills to identify patterns in unpaid claims, leading to innovative solutions for prompt resolution.
  • Improved the accuracy of medical billing by diligently reviewing patient records and validating correctness before submission.
  • Expedited reimbursements with efficient follow-ups on outstanding claims and negotiating with insurance carriers.
  • Maintained strict confidentiality of patient information in accordance with HIPAA regulations while handling sensitive documents.
  • Boosted efficiency in the billing department by notifying management of possible critical issues with the Insurance payer. This will help to avoid past-timely issues or delayed payments on medical claims.

AR Team Lead Physician Billing Services

Changehealthcare formerly known as McKesson
06.1997 - 07.2019
  • Maintain Federal compliance
  • Verify accuracy of billing data and revise any errors
  • Contact customers to obtain or relay account information
  • Analyze claims
  • Correspond with clients
  • Run AR over 120 reports
  • Oversaw the day to day processing of AR workflow
  • Assisted with training incoming new hires for account receivable
  • Q\A review of denials, adjustments& collections
  • Submit support tickets for claim edits, to comply with the insurance payer.

Education

Medical coding -

CCAC Office of College Services
Pittsburgh, PA

High School Diploma -

George Westinghouse High-school
Pittsburgh, PA

Business -

University of Phoenix
Phoenix, AZ

Skills

  • Critical Thinking
  • Negotiation
  • Time Management
  • Monitoring
  • Knowledge of medical coding
  • Knowledge of various payers policies Appeals and reconsideration process
  • Timely filing Reduced turn around time for reimbursement 37 days
  • Communication
  • Team player

References

References available upon request.

Timeline

Senior Account Receivables Physician Medical Billing

UPMC Presbyterian
08.2019 - 06.2024

AR Team Lead Physician Billing Services

Changehealthcare formerly known as McKesson
06.1997 - 07.2019

Medical coding -

CCAC Office of College Services

High School Diploma -

George Westinghouse High-school

Business -

University of Phoenix

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CHRISTINA ESTES