Crystal Lowe
Groves,TX
Summary
Professional financial specialist prepared for Accounts Receivable Billing role. Skilled in managing billing processes, resolving discrepancies, and ensuring timely payments. Strong focus on team collaboration and achieving results. Adaptable, reliable, and equipped with effective communication and analytical skills. Experienced with medical billing processes, including claim submission and follow-up. Utilizes knowledge of insurance guidelines to ensure accurate and timely billing. Track record of effective communication and problem-solving, consistently supporting healthcare providers' financial goals.
Overview
12
12
years of professional experience
Work History
Accounts Receivable Specialist
Revere Medical
09.2023 - Current
- Correct claim errors, update patient data, ensure accurate billing codes.
- Engage with insurers to resolve and collect outstanding accounts efficiently.
- Address patient inquiries, facilitate payment plans to enhance satisfaction.
- Utilize CPT, Modifiers, and ICD-10 codes for precise billing processes.
- Analyze benefits explanations to streamline medical billing operations.
- Analyzed medical claims to ensure compliance with insurance policies and regulations.
- Processed high volumes of claims accurately, reducing errors and improving turnaround times.
- Analyzed patient billing inquiries, implementing effective resolutions that strengthened patient trust and satisfaction.
- Coordinated with insurance payers to resolve discrepancies, achieving prompt collections and minimizing account aging.
- Maintained accurate records of claims and payments, ensuring compliance with industry standards and facilitating audits.
- Processed and reconciled accounts receivable transactions using advanced ERP systems.
- Collaborated with cross-functional teams to resolve billing discrepancies efficiently.
Medical Claims Specialist
Steward Medical Group
12.2022 - 09.2023
- Balanced payments and issued patient statements efficiently.
- Resolved denied claims with thorough research.
- Billed secondary/tertiary insurances accurately.
- Ensured coding compliance with ICD-10 and CPT standards.
- Executed medical billing using EOBs effectively.
- Scrutinized denied claims and conducted thorough research to resolve discrepancies, resulting in improved reimbursement timelines and reduced revenue loss.
- Streamlined the claims scrubbing process to ensure compliance with ICD-10-CM and CPT/HCPCS standards, leading to a noticeable decrease in claim rejections.
- Maintained accurate and balanced payment postings, enhancing financial reporting accuracy and supporting timely billing cycles.
- Coordinated with insurance companies to identify and bill secondary and tertiary claims, fostering strong partnerships and ensuring comprehensive patient coverage.
- Analyzed medical claims to ensure compliance with insurance policies and regulations.
- Processed high volumes of claims accurately, reducing errors and improving turnaround times.
Medical Office Manager
Dr. Tracie Updike, MD
03.2018 - 10.2022
- Managed patient scheduling and appointment coordination to optimize office workflow.
- Facilitated communication between patients, medical staff, and insurance providers to resolve inquiries.
- Maintained accurate electronic health records using EHR software for compliance and efficiency.
- Processed patient intake forms and verified insurance information to ensure data accuracy.
- Assisted in training new staff on office procedures and best practices to enhance team performance.
- Implemented filing system improvements that increased document retrieval speed and reduced errors.
- Monitored inventory levels of medical supplies, coordinating re-orders to maintain stock availability.
- Processed medical claims using electronic billing systems, ensuring compliance with insurance regulations.
- Reviewed patient accounts for accuracy, resolving discrepancies to maintain financial integrity.
- Coordinated with healthcare providers and insurance companies to facilitate timely reimbursements.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
- Managed 4 employees with various personalities and from different cultures for large 1 physician practice.
Medical Office Manager
Dr. Hong C Trinh MD
01.2014 - 01.2018
- Resolved claim denials through effective communication with insurers and patients.
- Implemented efficient billing procedures that reduced claim denials and improved cash flow.
- Trained junior staff on best practices in medical coding and billing operations.
- Posted and adjusted payments from insurance companies.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Conducted audits to enhance billing accuracy and compliance.
- Processed claims ensuring correct documentation and coding.
- Posted payments within 24 - 48 hours, improving cash flow.
- Conducted thorough audits of billing records, identifying discrepancies that led to measurable improvements in compliance and accuracy.
- Maintained meticulous records of insurance and patient payments, ensuring timely posting to support cash flow management.
- Managed daily operations, ensuring efficient patient scheduling and flow within the office.
- Oversaw billing and coding processes, improving accuracy of claims submissions.
Education
Bachelor of Science - Health Administration
University of Phoenix
Phoenix, AZ09.2025
Associate of Applied Science - Health Information Management
Lamar Institute of Technology
Beaumont, TX05.2023
Skills
- Accounts receivable
- Accurate payment posting
- Payment posting
- Electronic claims
- Insurance billing
- Medical billing
- HIPAA compliance
- Insurance claims
- Conflict resolution
- Professional telephone etiquette
- Effective multitasking
- Strong work ethic
Timeline
Accounts Receivable Specialist
Revere Medical
09.2023 - Current
Medical Claims Specialist
Steward Medical Group
12.2022 - 09.2023
Medical Office Manager
Dr. Tracie Updike, MD
03.2018 - 10.2022
Medical Office Manager
Dr. Hong C Trinh MD
01.2014 - 01.2018
Associate of Applied Science - Health Information Management
Lamar Institute of Technology
Bachelor of Science - Health Administration
University of Phoenix
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