Experienced with medical billing procedures and coding standards. Utilizes strong analytical skills to ensure accurate claim submissions and resolution. Knowledge of insurance guidelines and healthcare regulations, consistently delivering precise billing operations.
Overview
17
17
years of professional experience
Work History
Medical Billing Specialist
Cancer Care Network
09.2005 - 10.2014
Reviewed claim denials and payer requirements for corrective action
Maintained and updated information on insurance coverage of diagnosis, procedures and fees
Researched and replied to insurance, patient and internal customer inquiries
Worked hand-in-hand with front office staff to obtain proper information for claims processing
Oversaw and ran necessary reports for monthly and quarterly reporting
Operated office equipment, including typing, adding, and calculating machines
Communicated with customers to provide account information
Customer Service Representative/ billing
Convalescent Equip & Supply
01.2001 - 05.2005
Anticipated needs and resolved problems to keep customers happy
Built trusting relationship with customers to better understand needs
Managed customer calls efficiently in fast-paced call center environment
Resolved customers' service or billing complaints by exchanging merchandise, refunding money or adjusting bills
Collaborated with internal departments to find resolutions and conduct further research on customer account
Enhanced customer satisfaction with fast, knowledgeable service
Addressed and resolved customer concerns and complaints
Created and entered enrollment applications for new consumers in company database
Supervisor of Operations
Mezza Cafe
11.1997 - 02.2003
Kept operations in compliance with applicable internal policies and regulatory standards
Prepared thorough reports by compiling and distilling related data
Coordinated outside vendor support to meet office maintenance or service needs
Supervised work of office, administrative and customer-facing employees
Kept updated records of inventory, supplies and maintenance actions
Preserved customer loyalty by quickly and completely resolving complaints
Sr. Grassroots Advocacy Manager at American Cancer Society Cancer Action NetworkSr. Grassroots Advocacy Manager at American Cancer Society Cancer Action Network