Crystal Olivia
Terlton
Summary
Detail-oriented Medical Biller with expertise in electronic claims submission, denial management, and HIPAA compliance. Proven ability to resolve issues and communicate effectively with insurers, ensuring timely claims processing. Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
13
13
years of professional experience
Work History
Medical Biller
Allergy Clinic Of Tulsa
Tulsa
12.2014 - 05.2024
- Submitted electronic claims to various insurance carriers.
- Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
- Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
- Communicated with insurance companies to resolve claim denials and disputes.
- Educated patients about their insurance benefits and billing procedures.
- Collaborated with healthcare providers to clarify coding and billing requirements.
- Applied HIPAA privacy and security regulations while handling patient information.
- Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
Medical Biller Patient account representative
Therapy Works
Tulsa
10.2011 - 12.2014
- Managed accounts receivable to ensure timely payments from insurers.
- Resolved billing discrepancies by communicating with insurance providers directly.
- Maintained detailed records of all billing transactions and patient accounts.
- Educated patients on insurance benefits and billing procedures effectively.
- Applied HIPAA privacy and security regulations while handling patient information.
- Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
- Input details into accounts and tracked payments.
Skills
- Electronic claims submission
- Claims processing
- HIPAA compliance
- Communication with insurers
- Detail orientation
- Problem solving
- Time management
- Customer service
- Conflict resolution
- Verbal and written communication
- Medical claims submission
- CPT knowledge
- Claims review
- Denial management
- Medical terminology
- Submission of medical claims
- Accounts receivable
- Payment posting
- CMS-1500 billing forms
- CPT code modifiers
- Account follow-up
- ICD-10
- Electronic claims
Timeline
Medical Biller
Allergy Clinic Of Tulsa
12.2014 - 05.2024
Medical Biller Patient account representative
Therapy Works
10.2011 - 12.2014