Christine Duncan
Newberry
Summary
Detail-oriented billing specialist known for effective collaboration with healthcare providers. Committed to accuracy in claims processing and maintaining compliance, driving improvements in billing outcomes and overall operational success.
Dedicated medical billing professional with expertise in claims submission, HIPAA compliance, and patient billing. Proven ability to streamline processes and resolve discrepancies efficiently.
Professional with strong expertise in medical billing, bringing reliable and adaptable approach to navigating evolving needs. Proven track record in team collaboration and achieving results through effective communication and problem-solving. Skilled in coding, claims processing, and patient account management, with keen eye for accuracy and compliance. Known for dependability and focus on efficiency, ready to contribute to streamlined billing operations.
Overview
20
20
years of professional experience
Work History
Medical Biller
Surgery Partners
Remote
02.2023 - Current
- Processed and submitted medical claims to insurance companies, ensuring compliance with regulations.
- Assessed patient documentation meticulously to confirm all information was accurate and complete prior to billing.
- Collaborated with healthcare providers to resolve discrepancies in billing information.
- Utilized electronic health record systems for efficient claim tracking and reporting.
Business Office Manager
Surgery Partners
02.2023 - 11.2023
- Streamlined patient scheduling processes to enhance operational efficiency.
- Managed daily office operations, ensuring compliance with healthcare regulations and standards.
- Resolved financial discrepancies and customer billing issues with timely attention.
- Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
- Enhanced customer satisfaction by addressing inquiries promptly and resolving issues professionally.
- Coordinated staff schedules, adjusting workloads to maximize productivity and meet deadlines.
- Physician Credentialing
- Assisted physician offices with scheduling surgeries
- Fostered a positive work environment by resolving staff conflicts promptly and promoting open communication.
- Coordinated staff training programs, fostering skill development and knowledge sharing among team members.
- Updated reports, managed accounts, and generated reports for company database.
- Coordinated with IT department to resolve technical issues swiftly, minimizing downtime and maintaining operational continuity.
Managed Care Coordinator
Avalon Health Care
Rancho Mirage, CA
04.2016 - 08.2017
- Coordinated patient care plans to ensure alignment with managed care guidelines.
- Implemented process improvements to enhance efficiency in care coordination workflows.
- Developed training materials for staff on compliance and regulatory requirements.
- Monitored patient progress and facilitated communication among healthcare providers.
- Streamlined the managed care process for better efficiency through thorough documentation and accurate recordkeeping.
- Maintain knowledge of insurance requirements in managed care plans, prepare excel spreadsheets for all managed care residents at over 25 skilled/rehabilitation facilities that ,included ICD-10 CPT codes etc.
Administrator/Business Office Manager
Premier Outpatient Surgery Center
Colton, CA
01.2006 - 11.2014
- Maintained personnel records and updated internal databases to support document management.
- Supervised administrative support staff members, offering guidance, feedback, and mentorship that contributed to their professional growth and development.
- Provided exceptional customer service to both internal and external stakeholders through prompt response times and thorough issue resolution efforts.
- Managed office inventory levels, ensuring adequate supplies were available while minimizing waste and unnecessary spending.
- Facilitated communication between departments, promoting collaboration and efficient workflow within the center.
- Served as a liaison between departments, fostering open communication channels that improved overall organizational function.
- Managed human resources functions, including hiring, onboarding, and employee evaluations for optimal team performance.
- Organized and executed quarterly staff training sessions, keeping team informed on latest administrative protocols and technology.
- Performed Peer review, Physician credentialing
Education
No Degree - Health Information Technology
Santa Barbara City College
Santa Barbara, CABilling And Coding - Certified Billing & Coding
National Healthcare Association
Remote2014
Certified Coding Associate - Certified Coding
Ahima
Remote02-2009
Skills
- Insurance claims
- Insurance billing
- Medical billing
- Electronic claims
- HIPAA compliance
- Patient billing
- CPT knowledge
- Claim submission
Timeline
Medical Biller
Surgery Partners
02.2023 - Current
Business Office Manager
Surgery Partners
02.2023 - 11.2023
Managed Care Coordinator
Avalon Health Care
04.2016 - 08.2017
Administrator/Business Office Manager
Premier Outpatient Surgery Center
01.2006 - 11.2014
No Degree - Health Information Technology
Santa Barbara City College
Billing And Coding - Certified Billing & Coding
National Healthcare Association
Certified Coding Associate - Certified Coding
Ahima