CIARA WHITTEMORE
Springhill,TN
Summary
Knowledgeable about preparing invoices, processing payments and pursuing past-due balances. Well-versed in accurately coding different types of bills for clear recordkeeping and tracking. Team-oriented, dependable and performance-driven. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving.
Overview
9
9
years of professional experience
Work History
Billing Specialist
Advanced Foot and Ankle Care Centers
01.2024 - Current
- Managed multi-line phone system, professionally handling incoming calls while simultaneously attending to in-person visitors at the reception desk.
- Supported marketing efforts through social media management and promotional event coordination for increased brand visibility within the community.
- Boosted office productivity by implementing effective organizational systems and maintaining accurate records.
- Reduced claim denials by thoroughly reviewing medical documentation and ensuring accurate coding practices.
- Managed appeals process for denied claims, proficiently providing supporting documentation to successfully overturn denial decisions in many cases.
- Managed premium member accounts, ensuring accurate billing and timely payments.
- Ensured accurate billing and payment processing, reducing errors and guest disputes.
- Coordinated closely with collections agencies as necessary to resolve unpaid account balances while maintaining professionalism and discretion throughout the process.
Life and Health Insurance Agent
Game Changing Benefits
11.2022 - Current
- Maintained high standards of customer service by building relationships with clients.
- Provided coverage option information to assist clients in protecting assets.
- Explained advantages, features and disadvantages of various policies to promote sale of plans, boosting overall sales.
- Attended continuing education courses and workshops to gain additional insurance industry knowledge.
- Promoted products and services using upselling and other sales strategies.
- Obtained underwriting approval by completing application for coverage.
- Determined financial needs by assessing existing coverage and aligning new products and services with long-term goals.
Patient Access Registration
Beaumont Hospital
08.2019 - 11.2022
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
- Make CD's with patients imaging and download CD's from other facilities
- Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
- Responsible for monitoring and reviewing all ordered outpatient diagnostic scripts from physicians to ensure appropriate billing and data is entered
- Resolved patient financial problems with guidance from documented guidelines and procedures, and increased patient volume by 20%.
Rehabilitation Service Technician
Special Tree Rehabilitation
09.2018 - 08.2019
- Administered medication and insulin, managing 14 clients per day.
- Utilized and applied professional counseling techniques to assist participants with vocational, personal and psychological adjustments throughout rehabilitation process.
- Promoted case findings, received referrals and conducted interviews to determine eligibility.
- Provide direct care such as assistance with showering, toileting, exercising, and abiding by diet and medication guidelines
- Customized vocational exploration activities to identify self-determined rehabilitation needs and goals.
- Prepared and maintained records and case files detailing clients' personal and eligibility information, services provided and relevant correspondence.
- Consulted with interdisciplinary teams to enhance coordination of care, establish medical clearance and determine optimal timing of further interventions.
Assistant Manager
Tim Hortons
06.2015 - 09.2018
- Trained new employees on food safety, REV inspections and codes to remain up to standards, as well as proper skills and procedures.
- Monitored cash intake and deposit records, increasing accuracy and reducing discrepancies.
- Reduced corporate costs by 12% while developing and implementing improved merchandising, receiving and maintenance procedures.
- Helped with planning schedules and delegating assignments to meet coverage and service demands.
- Developed loyal and highly satisfied customer base through proactive management of team customer service strategies.
- Verified inventory counts remained within monthly tolerance levels and compiled financial data in compliance with budget.
Education
Diploma -
Oscar A. Carlson High
Skills
- Post-Discharge Care Coordination
- Patient Confidentiality and Data Security
- Database Search and Data Entry Skills
- Payment posting
- Scheduling Diagnostic Procedures
- Accounts Payable and Accounts Receivable
- Financial Recordkeeping
- Billing systems and software
- Insurance Verification
- Claims Processing
- Denial Management
- Medicare/Medicaid Coordination
Timeline
Billing Specialist
Advanced Foot and Ankle Care Centers
01.2024 - Current
Life and Health Insurance Agent
Game Changing Benefits
11.2022 - Current
Patient Access Registration
Beaumont Hospital
08.2019 - 11.2022
Rehabilitation Service Technician
Special Tree Rehabilitation
09.2018 - 08.2019
Assistant Manager
Tim Hortons
06.2015 - 09.2018
Diploma -
Oscar A. Carlson High
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