Seasoned Medical Insurance Specialist with excellent planning and problem solving abilities. Offering 17 years of experience and a willingness to take on any challenge. Organized, driven and adaptable professional with successful history managing high caseloads in fast-paced environments.
Overview
15
15
years of professional experience
Work History
Senior Processing Specialist
Fiserv/ TRS Recovery Services
Marietta, GA
06.2019 - Current
Identified root causes of customer concerns, tracked resolution process steps, and documented all actions taken.
Assisted customers with inquiries and complaints, providing timely resolution to customer issues.
Ensured compliance with applicable laws and regulations during the resolution process.
Drafted correspondence to customers regarding resolutions of their issues.
Collaborated closely with cross-functional teams in order to provide comprehensive resolutions for customers.
Created reports on the status of outstanding cases and communicated results to management team members.
Medical Billing Manager
Center For Allergy & Asthma Of West Ga
Villa Rica, GA
04.2009 - 02.2019
Prepared monthly financial statements detailing revenue generated by practice locations.
Conducted insurance verification and pre-authorization, coded allergy procedures and managed patient charts.
Helped customers to bring accounts into good standing by implementing payment plans.
Identified areas of improvement within the medical billing process, implemented changes accordingly.
Assisted in developing policies and procedures related to medical billing operations.
Led team of 6 staff handling more than $100,000 in monthly charges.
Reviewed appeals processes and assisted in preparing appeal letters when necessary.
Managed and reviewed medical billing staff to ensure accuracy of patient accounts.
Provided technical assistance regarding coding questions or other inquiries from internal teams.
Monitored accounts receivable aging reports and worked proactively to reduce outstanding balances due from patients or insurers.
Worked closely with clinical staff to ensure timely submission of claims and accurate coding practices.
Developed training programs for new hires and existing staff in order to improve performance and efficiency.