CHRISTINA PRICE
Wabasha,United States
Summary
Professional Medical/Behavioral Health Billing Specialist with over 25 years of experience. Billing and Accounts Receivable. Highly skilled Billing Specialist with background in managing complex billing systems, ensuring accurate invoicing and maintaining financial records. Strengths include deep understanding of accounting procedures, proficiency in billing software, and ability to handle high volume workloads efficiently. Previous roles involved proactively resolving billing issues, improving internal tracking processes, and contributing to successful audits.
Overview
19
19
years of professional experience
Work History
Billing Specialist
Ellie Mental Health
Mendota Heights, United States
02.2023 - 11.2024
- Generated and managed claim files for insurance billing through Clearinghouse.
- Ensured accurate monitoring and maintenance of Accounts Receivable related to insurance claims.
- Managed the resolution of claims issues including corrections, denials, and appeals.
- Recorded payments received from insurance companies and clients.
- Performed routine maintenance on patient/client insurance records.
- Assisted clinicians in correcting billing errors affecting commission calculations.
- Managed incoming billing calls, resolving balance issues efficiently.
- Integrated EMR system Valant, enhancing operational efficiency.
- Verified insurance coverage and identified third-party payers for billing purposes.
- Developed strong professional rapport with vendors and clients.
Billing Specialist
KWG Counseling
Eau Claire, United States
07.2014 - 11.2024
- Prepared and transmitted claims to Insurance through Clearinghouse.
- Recorded received funds from patients and insurers.
- Monitored accounts receivables for insurance claims and managed denials.
- Produced invoices addressing client payments due.
- Launched and upheld insurance credentialing submissions across different insurers.
- Oversaw all aspects of credentialing applications, contract management, and reassignment tasks.
- Utilized EMR system SimplePractice.
- Verified insurance coverage and identified third-party payers for billing purposes.
- Collected, posted and managed patient account payments.
- Monitored customer account details for non-payments, delayed payments, and other irregularities.
Billing Specialist
Arbor Place, Inc.
Menomonie, United States
02.2017 - 06.2020
- Generated claims files sent through EMR clearinghouse.
- Monitored accounts receivable and processed claims corrections.
- Managed patient calls concerning their account balances and insurance issues.
- Assumed front desk responsibilities when required.
- Ensured accurate insurance information collection.
- Oversaw initiation and maintenance of contracts with various insurers.
- Managed Medisoft EMR system.
- Performed insurance verification, pre-certification and pre-authorization.
- Implemented new policies related to billing processes when required.
- Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
Billing/AR Specialist
Chippewa Valley Orthopedics & Sports Medicine
Altoona, United States
11.2013 - 02.2017
- Managed insurance claim files and transmitted to insurers using EMR clearinghouse.
- Handled comprehensive maintenance of workman's compensation and personal liability insurance accounts receivable.
- Addressed and corrected discrepancies in Coordination of Benefits processes.
- Addressed all insurance correspondence to ensure proper follow-up.
- Handled financial information requests related to Workman's Compensation and Liability claims.
- Proficient with Allscripts and Greenway Primesuites EMR systems.
- Documented all Accounts Receivable transactions accurately in the system according to established procedures.
- Prepared monthly aging reports of all outstanding receivables for management review.
- Reconciled customer accounts and resolved discrepancies.
Billing/AR Specialist
Chippewa Valley Eye Clinic
Eau Claire, United States
02.2013 - 10.2013
- Posted charges accurately and filed medical claims through EMR clearinghouse.
- Apply payments, adjustments, and denials
- Monitored and maintained all daily posting activity and banking deposits.
- Managed Accounts Receivable processes, resolving claim denials promptly and ensuring efficient follow-ups.
- Managed timely responses to insurance-related queries.
- Streamlined patient data processes through the use of Mysis EMR system.
- Tracked daily cash receipts from customers against their respective invoices for proper reconciliation purposes.
- Performed various accounts receivable functions, handled cash receipts posting, updated cash flow reports and researched chargebacks and write-offs.
- Prepared monthly aging reports of all outstanding receivables for management review.
Coordination of Benefits Specialist
Community Health Partnership
Eau Claire, United States
06.2010 - 01.2013
- Ensured all patient details were correctly logged into EMR system regarding all "other " Insurance policies
- Conducted detailed evaluation and validation of 'Other' insurance policies and Community Health Partnership's status in the Medicare Advantage Plan for Special Needs.
- Developed and maintained benefits policies and procedures manuals.
- Checked accuracy and completeness of benefits applications and documents.
- Regularly managed insurance benefit records through organized tracking spreadsheets.
- Coordinated efforts of Revenue Cycle Management, claims departments, and Third Party Administrators to ensure accurate billing.
- Managed EMR systems including Visual Prime & Allscripts.
- Stayed current with benefits trends and legislation through continuous education and professional development.
Billing Specialist
Baltimore Eye Care
Baltimore, United States
06.2005 - 10.2009
- Precisely managed theposting of charges and sending out all medical claims.
- Accounts receivable follow up on all unpaid claims
- Resubmitted corrected and appealed claims as required.
- Rectified patient billing discrepancies.
- Recorded payments and corrections from both insurance companies and patients within the EMR platform.
- Possesses strong proficiency in Ophthalmology and Optometry coding.
- Addressed queries from insurance providers.
- Implemented the Medical Mastermind EMR system.
- Verified insurance coverage and identified third-party payers for billing purposes.
- Developed financial reports detailing accounts receivable aging status.
- Collected, posted and managed patient account payments.
- Reconciled daily cash receipts with total deposits on bank statement.
- Worked with team members to identify and develop process improvements.
Education
High School Diploma - General high school studies - reading writing arithmetic
Dundalk High School
Baltimore05.1998
Skills
- Payment posting
- Billing cycle management
- Billing systems and software
- Accounts receivable expertise
- Claim submission
- Insurance verification
- Attention to detail
References
- Kristen Gustavson, PhD, 715-579-8465, KWG Counseling, drkgustavson@gmail.com
- Michelle Murphy, 720-224-5302, Ellie Mental Health, Murphybih@gmail.com
Timeline
Billing Specialist
Ellie Mental Health
02.2023 - 11.2024
Billing Specialist
Arbor Place, Inc.
02.2017 - 06.2020
Billing Specialist
KWG Counseling
07.2014 - 11.2024
Billing/AR Specialist
Chippewa Valley Orthopedics & Sports Medicine
11.2013 - 02.2017
Billing/AR Specialist
Chippewa Valley Eye Clinic
02.2013 - 10.2013
Coordination of Benefits Specialist
Community Health Partnership
06.2010 - 01.2013
Billing Specialist
Baltimore Eye Care
06.2005 - 10.2009
High School Diploma - General high school studies - reading writing arithmetic
Dundalk High School
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