Chrystal Wieck
Sheboygan,WI
Summary
Competent Medical Billing Specialist with 28 years of experience in handling wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices.
Overview
23
23
years of professional experience
Work History
Medical Billing Specialist
PBO, Inc.
10.2012 - Current
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Continuously updated knowledge of industry regulations and compliance requirements, ensuring adherence to all applicable standards.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Efficiently processed refunds or adjustments for patients when necessary, ensuring accuracy and compliance with company policies.
- Monitored changes in payer requirements, adjusting billing practices accordingly to minimize disruptions in the revenue cycle.
- Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Located errors and promptly refiled rejected claims.
- Identified and resolved patient billing and payment issues.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Collected payments and applied to patient accounts.
- Posted and adjusted payments from insurance companies.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Filed and updated patient information and medical records.
- Prepared billing correspondence and maintained database to organize billing information.
- Evaluated patients' financial status and established appropriate payment plans.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Adhered to established standards to safeguard patients' health information.
- Responded to customer concerns and questions on daily basis.
- Maintained accurate records of customer payments.
- Processed payment via telephone with focus on accuracy and efficiency.
Special Operations Team Member
HSA Bank, Webster Bank
08.2009 - 10.2012
- Increased customer satisfaction with prompt and accurate responses to inquiries, addressing concerns, and resolving issues.
- Contributed to a positive work environment by consistently demonstrating professionalism, adaptability, and strong interpersonal skills.
- Exceeded performance goals through diligent task completion, attention to detail, and consistent follow-through on assignments.
- Maintained strict adherence to company policies and procedures while sustaining high-quality work standards under pressure.
- Contributed to team success by completing jobs quickly and accurately.
- Learned all required tasks quickly to maximize performance.
- Worked scheduled shifts and remained available to work during coworker absences, holidays, and busy periods.
- Processed daily deposits.
Patient Billing Representative
Advanced Foot Care
08.2001 - 06.2009
- Improved patient billing accuracy by meticulously reviewing and analyzing insurance claims and payment data.
- Enhanced customer satisfaction with prompt resolution of billing disputes, addressing concerns professionally and empathetically.
- Maintained compliance with federal, state, and local regulations governing patient billing practices to avoid fines or audits.
- Prepared financial reports for management review, highlighting trends in revenue generation and areas for improvement.
- Optimized cash flow by establishing payment plans for patients with high deductible insurance plans or significant out-of-pocket expenses.
- Supported patients'' understanding of their bills by clarifying complex medical terminology and explaining charges in a compassionate manner.
- Monitored daily claim submissions to identify errors or potential issues, taking corrective action as needed for timely processing.
- Managed sensitive patient data securely, adhering to HIPAA guidelines and maintaining strict confidentiality at all times.
- Established positive relationships with insurance company representatives, facilitating effective communication during the claim resolution process.
Education
Bachelor of Arts - Business Administration
Lakeland College
Sheboygan, WI12.1989
High School Diploma -
Cedar Grove High School
Cedar Grove, WI06.1981
Skills
- Medicare and Medicaid process
- HIPAA Compliance
- Payment posting
- Insurance Verification
- Claim submission
- CPT Knowledge
- Denial Management
- ICD-10 Proficiency
- Claims Processing
- Commercial and Private Insurance
- Claims review
- CMS-1500 Billing Forms
- Insurance claims processing
- Medical Billing
- Proficiency in Microsoft Word and Excel
Timeline
Medical Billing Specialist
PBO, Inc.
10.2012 - Current
Special Operations Team Member
HSA Bank, Webster Bank
08.2009 - 10.2012
Patient Billing Representative
Advanced Foot Care
08.2001 - 06.2009
Bachelor of Arts - Business Administration
Lakeland College
High School Diploma -
Cedar Grove High School
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