Summary
Overview
Work History
Education
Skills
Timeline
Generic

Cynthia Dixon

Alum Creek,WV

Summary

Accomplished Medical Billing Specialist, adept in Medisoft Billing Software and HIPAA Compliance. Demonstrated expertise in enhancing revenue collection and reducing billing errors through meticulous claim submission and denial management. Proven ability to foster positive customer experiences and streamline billing processes, showcasing strong problem-solving and medical coding skills. Competent Medical Billing Specialist with 28 years of experience in handling wide variety of medical coding and billing tasks.

Overview

29
29
years of professional experience

Work History

Medical Billing Specialist

Medisys Medical Systems
10.2017 - 09.2024
  • Posted and adjusted payments from insurance companies.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Communicated effectively and extensively with other departments to resolve claims issues.
  • Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
  • Located errors and promptly refiled rejected claims.
  • Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
  • Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
  • Precisely completed appropriate claims paperwork, documentation and system entry.
  • Precisely evaluated and verified benefits and eligibility.
  • Verified insurance of patients to determine eligibility.

Medical Billing Specialist

Webpt
10.2010 - 08.2017
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Posted and adjusted payments from insurance companies.
  • Communicated effectively and extensively with other departments to resolve claims issues.
  • Located errors and promptly refiled rejected claims.

Medical Billing Specialist

Health Data Solutions
06.2005 - 10.2010
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Posted and adjusted payments from insurance companies.
  • Identified and resolved patient billing and payment issues.
  • Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
  • Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
  • Precisely completed appropriate claims paperwork, documentation and system entry.
  • Precisely evaluated and verified benefits and eligibility.
  • Collected payments and applied to patient accounts.
  • Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
  • Monitored changes in payer requirements, adjusting billing practices accordingly to minimize disruptions in the revenue cycle.
  • Posted payments and collections on regular basis.
  • Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
  • Verified insurance of patients to determine eligibility.
  • Delivered timely and accurate charge submissions.
  • Adhered to established standards to safeguard patients' health information.
  • Communicated effectively and extensively with other departments to resolve claims issues.
  • Liaised between patients, insurance companies, and billing office.
  • Participated in departmental meetings, sharing insights and ideas for improving overall medical billing efficiency and revenue generation.

Child Caregiver

Self Employed Services
04.2004 - 06.2005
  • Sanitized dishes, tabletops, toys, and frequently touched surfaces to prevent spreading of germs.
  • Ensured child safety through diligent supervision and adherence to established protocols.
  • Administered first aid when necessary, maintaining a calm demeanor during emergencies and handling situations effectively.
  • Applied positive behavior management techniques to enhance social interactions and emotional development.
  • Prepared healthy foods and beverages for children based on optimal dietary guidelines and individual restrictions.

Medical Billing Specialist

Associated Radiologists
01.1996 - 02.2004
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Posted and adjusted payments from insurance companies.
  • Communicated effectively and extensively with other departments to resolve claims issues.
  • Located errors and promptly refiled rejected claims.
  • Identified and resolved patient billing and payment issues.
  • Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
  • Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
  • Collected payments and applied to patient accounts.
  • Precisely completed appropriate claims paperwork, documentation and system entry.
  • Precisely evaluated and verified benefits and eligibility.
  • Filed and updated patient information and medical records.
  • Prepared billing correspondence and maintained database to organize billing information.
  • Participated in departmental meetings, sharing insights and ideas for improving overall medical billing efficiency and revenue generation.

Education

Medical Business And Clinical Specialist - Medical Billing

National Education Center
Cross Lanes, WV
09.1995

Skills

    Medisoft Billing Software: 7 years experience

    Gateway Clearing House: 7 years experience

    NextGen Billing Software: 2 years experience

    Waystar Clearing House: 2 years experience

    Eclinical Billing Software: 2 years experience

    HIPAA Compliance

    Payment posting

    Claim submission

    Insurance Verification

    Patient Billing

    CPT Knowledge

    Denial Management

    Medicare and Medicaid process

    Medical Coding Expertise

    Bill payment

    Accounts Payable

Timeline

Medical Billing Specialist

Medisys Medical Systems
10.2017 - 09.2024

Medical Billing Specialist

Webpt
10.2010 - 08.2017

Medical Billing Specialist

Health Data Solutions
06.2005 - 10.2010

Child Caregiver

Self Employed Services
04.2004 - 06.2005

Medical Billing Specialist

Associated Radiologists
01.1996 - 02.2004

Medical Business And Clinical Specialist - Medical Billing

National Education Center
Cynthia Dixon