Detail-oriented Medical Billing Specialist with strong understanding of bookkeeping principles and customer service. Experienced in developing and managing efficient billing and posting processes. Considered focused and organized team player. Extensive knowledge in data confidentiality and privacy practices when reviewing patient information.
Overview
16
16
years of professional experience
Work History
Senior Billing/Collections Representative
Covenant Pulmonary
02.2016 - 07.2023
Correctly coded and billed hospital charges for several different Pulmonologists and Intensivists.
Reviewed patient charts to better understand health histories, diagnoses, and treatments.
Monitored changes in coding regulations to provide recommendations for compliance.
Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in inpatient and outpatient medical records.
Interacted with physicians and other healthcare staff to ask questions regarding patient services.
Input data into computer programs and filing systems.
Coding and Billing Coordinator
Covenant SurgiCenter, Ltd.
07.2007 - 02.2016
Answered telephone and in person inquiries with friendly demeanor and full knowledge of billing department processes.
Identified, researched, and resolved billing variances to maintain system accuracy and currency.
Completed appeals of denied claims on patient bills.
Entered details into accounts and tracked payments.
Referred past due payments to collections department.
Provided excellent customer service, developing and maintaining client relationships.
Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
Prepared and submitted monthly billing reports to management for financial overview.
Responded to customer concerns and questions on daily basis.
Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
Education
Diploma - Medical Office Specialist -
Texas Careers
Lubbock, TX
05.2005
Diploma -
Lubbock High School
Lubbock, TX
05.1995
Skills
Accounting Experience
Revenue Cycle Management
Account Reconciliation
CPT and ICD-10 Coding
Data Entry
MS Word/Excel programs
Payment Posting and Processing
Insurance Verification
Detail-Oriented
Customer Service Experience
HIPAA Compliance
Medicare and Medicaid Process
Commercial and Private Insurance
Worker's Compensation Knowledge
Multitasking and Organization
Medical Claims Review, Processing, and Auditing
Billing and Collection Procedures
Electronic Health Record Software (IDX, Epic, MediSoft, AllScripts, and eClinicalWorks)
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