Organized Medical Biller boasts 15 plus-year career performing difficult multitasking and claims-processing tasks. Works quickly with insurance companies to resolve problematic disputes and handle patient inquiries. Brings can-do attitude to collaborating with medical professionals, insurance providers and clients to handle invoicing within high-traffic office environment.
Overview
13
13
years of professional experience
Work History
Medical Accounts Receivable Specialist
Medirevv/Tegria RCM
Seattle, WA
01.2019 - 04.2023
Applied HIPAA privacy and security regulations while handling patient information.
Completed and submitted appeals for denied claims.
Communicated with insurance representatives to complete claims processing or resolve problem claims.
Submitted appeals using provider portals and phone communication.
Reviewed claims for coding accuracy.
Coordinated communications between patients, billing personnel and insurance carriers.
Input details into accounts and tracked payments.
Contacted insurance providers to verify insurance information and obtain billing authorization.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Handled billing, waivers and claims for private and commercial clients.
Monitored reimbursement from managed care networks and insurance carriers to verify consistency with contract rates.
Upheld strict quality and accuracy standards through daily process adjustments.
Verified validity of account discrepancies by obtaining and investigating information from sales, trade promotions, customer service departments and from customers.
Managed AP and AR operations, coordinating staff workflows and reviewing completed work to reduce errors.
Medical Biller, Accounts Receivable
Providence Health and Services
Portland, OR
07.2014 - 01.2019
Applied HIPAA privacy and security regulations while handling patient information.
Completed and submitted appeals for denied claims.
Communicated with insurance representatives to complete claims processing or resolve problem claims.
Submitted appeals using provider portals and phone communication.
Reviewed claims for coding accuracy.
Coordinated communications between patients, billing personnel and insurance carriers.
Input details into accounts and tracked payments.
Contacted insurance providers to verify insurance information and obtain billing authorization.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Handled billing, waivers and claims for private and commercial clients.
Distributed or posted financial data to appropriate accounts and prepare simple reconciliations.
Monitored reimbursement from managed care networks and insurance carriers to verify consistency with contract rates.
Interpreted medical terminology and pharmacological information to translate information into coding system.
Performed day-to-day financial transactions, including verifying, classifying, computing, posting and recording accounts receivables' data.
Facilitated payment of invoices due by sending bill reminders and contacting clients
Generated financial statements and reports detailing accounts receivable status.
Upheld strict quality and accuracy standards through daily process adjustments.
Utilized daily audit information to update aging reports.
Verified validity of account discrepancies by obtaining and investigating information from sales, trade promotions, customer service departments and from customers.
Resolved invalid or unauthorized deductions by following pending deductions procedures.
Medical Biller, Accounts Receivable
Care Medical DME
Portland, OR
08.2010 - 06.2014
Applied HIPAA privacy and security regulations while handling patient information.
Completed and submitted appeals for denied claims.
Communicated with insurance representatives to complete claims processing or resolve problem claims.
Submitted appeals using provider portals and phone communication.
Coordinated communications between patients, billing personnel and insurance carriers.
Input details into accounts and tracked payments.
Contacted insurance providers to verify insurance information and obtain billing authorization.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Handled billing, waivers and claims for private and commercial clients.
Facilitated payment of invoices due by sending bill reminders and contacting clients
Upheld strict quality and accuracy standards through daily process adjustments.
Education
High School Diploma -
Ephrata High School
Ephrata, WA
06.1983
Skills
Investigative research
Bill processing
Billing dispute resolution
Claims processing
Accounts receivable expertise
Vendor relationships
Accounts receivable
Timeline
Medical Accounts Receivable Specialist
Medirevv/Tegria RCM
01.2019 - 04.2023
Medical Biller, Accounts Receivable
Providence Health and Services
07.2014 - 01.2019
Medical Biller, Accounts Receivable
Care Medical DME
08.2010 - 06.2014
High School Diploma -
Ephrata High School
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