Coretta Bailey
St. Louis,Missouri
Summary
Detail-oriented billing specialist with extensive experience in insurance claims processing and patient registration. Proven ability to manage complex billing tasks under pressure while ensuring accurate payment collection and compliance with regulations.
Overview
1
1
Certification
17
17
years of professional experience
Work History
Urgent Care/Registration Specialist Lead
Affinia HealthCare
St. Louis, Mo
01.2024
- Verify and update patients demographic information.
- Review appropriate policies and regulations for patients.
- Greet and register incoming patients, collecting and accurately entering demographic, insurance, and billing information into the registration/billing systems.
- Verify coverage, obtain pre-certifications or authorizations when required, and confirm insurance details for service and claim processing.
- Collect co-payments, deposits, and other patient liabilities; provide receipts and document payments in the system
Billing Specialist
Betty Jean Kerr Peoples Health Center
01.2021 - 01.2024
- Performs insurance follow-up billing and collection duties on various financial classifications to ensure timely and accurate payment of physician charges work the Attorney requests as needed.
- Resubmit denied claims promptly and consistent with timely filing requirements. Make adjustments needed to maximize payments. Follow up to obtain the maximum payment.
- Tracking unpaid or denied claims submitted to payers, collecting co-pays, deductibles, and co-insurance after insurance payment
- Resubmitting corrected claims, filing clinical appeals, or negotiating adjustments
- Making collection calls to insurance companies and or patients to ensure timely payments of claims Ability to work/function independently and work under pressure.
Accounts Payable Coordinator
Affinia Healthcare/Grace Hill
St. Louis, Mo
01.2019 - 01.2019
- Demonstrated ability to work effectively and professionally either as an individual or member of a team and relate effectively with staff on all levels.
- Demonstrated ability to communicate, both orally and in writing, in a clear and concise manner.
- Demonstrated ability to quickly learn new information, processes, and procedures.
- Good numeracy skills, attention to detail and accuracy.
- Demonstrated ability to determine priorities, meets deadlines, and organizes work to meet objectives and identify and deal with problems in a timely and efficient manner.
- Ability to maintain confidentiality.
Billing Clerk/medical and dental
Affinia Healthcare/Grace Hill
St. Louis, Mo
01.2016 - 01.2019
- Data entry input of charges and payments received in a timely and accurate manner.
- Prepares, files, and maintains completed batches of billing materials.
- Identifies problem encounters and payments: if needed notifies Manager and Director.
- Process unbilled Claims, assists with departmental coverage as needed. Stay current with insurance requirements. Follow-up denied claims, make needed changes and resubmit for payment.
- Assists patients and guarantors with billing and reimbursement issues; follows-up with payment denials; edits and enters charges for physician radiology billing by verifying and keying charge data into the billing system.
Urgent Care/Registration Specialist
Grace Hill Health Center
St. Louis, Mo
01.2012 - 01.2016
- Verify and update patients demographic information
- Review appropriate policies and regulations such as HIPAA with the patients
- Determine appropriate fees based on sliding fee scale. Verify and document third party coverage; establish payment plans as necessary. Perform other duties as assigned.
- Prepare daily bank deposits and reconcile tally sheets.
- Refer patients to appropriate resources to apply for alternative methods of funding.
Enrollment Specialist/
Office Team/Grace Hill Health Center
St. Louis, Mo
01.2011 - 01.2012
- Entering patients information into Gateway application tracking and eligibility system.
- Provides objective enrollment, education, outreach, and advocacy services to DFS Division of family Services. Education regarding the correct information from the uninsured.
- Telephone and face-to-face support.
- Assistance with enrollment, disenrollment, and exemption procedures.
- Good computer skills word processing and e-mail software.
Order Entry Specialist
Federal Mogul
St. Louis, Mo
01.2007 - 01.2011
- Entered and processed sales orders in a SAP or NABS system.
- Established shipment of individual line items to different locations on different dates, all on one sales order. Sent order confirmations to customers and invoice items in full.
- View the available and expected quantities of items and running totals online.
- Look up sales order revisions, dates and commit inventory during sales order entry.
- Attached reference codes, standardized comments or free-form comments to sales orders and sales order lines.
Education
Bachelor Degree - Bachelor of General Studies, Minor Business of Administration
Columbia College
01-2010
Associate Degree - Administration Office Systems
St. Louis Community at Forest Park
01-2004
Diploma - Dental Assistant
St. Louis Community at Forest Park
01-2000
Skills
- Customer Service
- Multi-Line Phone
- Epic System
- Citrix
- Authorizenet
- Opex machines
- Copier
- Microsoft Office
- 10-Key
- Alpha/Numeric Filing
- Scanner
- Wausau Software
- SAP
- Epic
- Business Administration
- NextGen System
- Emomed
- Medical Terminology
- Insurance Billing
- Patient Accounts
Certification
CPR CERTIFICATION, Certified Application Counselor
Timeline
Urgent Care/Registration Specialist Lead
Affinia HealthCare
01.2024
Billing Specialist
Betty Jean Kerr Peoples Health Center
01.2021 - 01.2024
Accounts Payable Coordinator
Affinia Healthcare/Grace Hill
01.2019 - 01.2019
Billing Clerk/medical and dental
Affinia Healthcare/Grace Hill
01.2016 - 01.2019
Urgent Care/Registration Specialist
Grace Hill Health Center
01.2012 - 01.2016
Enrollment Specialist/
Office Team/Grace Hill Health Center
01.2011 - 01.2012
Order Entry Specialist
Federal Mogul
01.2007 - 01.2011
Bachelor Degree - Bachelor of General Studies, Minor Business of Administration
Columbia College
Associate Degree - Administration Office Systems
St. Louis Community at Forest Park
Diploma - Dental Assistant
St. Louis Community at Forest Park