Detail-oriented professional with expertise in customer relations and expert problem-solving. Proven ability to streamline processes and enhance operational efficiency in healthcare settings.
Overview
9
9
years of professional experience
Work History
Arbitration Specialist
HaloMD
Remote- Dallas
05.2025 - Current
Assisted providers in understanding compliance requirements for federal and state laws with and leverage the federal law and related state regulations
Works with providers including pathology, emergency medicine and anesthesiology
managed complex arbitration processes including preparing documents and negotiating claims
Used critical thinking to break down problems, evaluate solutions, and make decisions.
Identified issues, analyzed information, and provided solutions to problems.
Completed paperwork, recognizing discrepancies, and promptly addressing for resolution.
Translating and updating payer-specific data and codes.
Re-routing and syncing specific claims and payors.
Medical Billing Specialist
Tandym Group
Remote - NY
12.2023 - 02.2025
Reviewed billing discrepancies, resolving issues to expedite payment cycles.
Processed medical claims efficiently, ensuring accuracy and compliance with regulations.
Collaborated with healthcare providers to obtain necessary documentation for claims submission.
Utilized electronic health record (EHR) systems to manage patient accounts and track billing status.
Conducted audits of billing processes, identifying areas for improvement and implementing best practices.
Communicated with insurance providers to resolve denied claims and resubmitted.
Located errors and promptly refiled rejected claims.
Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
Billing Specialist
QMACS
Remote- Dallas
08.2021 - 02.2023
Implemented improvements in billing procedures to enhance operational efficiency.
Researched and resolved billing discrepancies to enable accurate billing.
Reviewed and corrected billing discrepancies to maintain accuracy.
Analyzed patient accounts for potential write-offs and adjustments, ensuring compliance with regulations.
Increased overall collection rates with a focus on reducing aged receivables and minimizing writeoffs.
Admitting Supervisor
Code 3 ER And Urgent Care
Frisco, TX
11.2017 - 04.2020
Supervised patient admissions, ensuring accurate data entry and compliance with healthcare regulations.
Trained and mentored staff on admitting protocols, improving team performance and service delivery.
Implemented process improvements resulting in reduced wait times for patients during peak hours.
Monitored daily operations, identifying areas for enhancement to streamline patient intake procedures.
Coordinated workflow between departments to enhance patient experience and optimize operational efficiency.
Collaborated with medical staff to resolve issues related to admissions and discharge processes.
Developed training materials for new hires, fostering a comprehensive understanding of admitting procedures.
Analyzed patient admission trends to inform strategic decisions regarding staffing and resource allocation.
Addressed patient concerns promptly, resolving issues professionally and empathetically to maintain trust and customer satisfaction.