Summary
Overview
Work History
Education
Skills
Timeline
AssistantManager

Cynthia Wilbourn

Gurley,AL

Summary

Results-driven DME Billing Specialist at Valley Vascular Consultants, adept at minimizing billing discrepancies and optimizing reimbursement through precise claims processing and insurance verification. Proven ability to enhance team collaboration and streamline billing operations, contributing to increased revenue collection and compliance with HIPAA regulations. Strong analytical skills paired with a commitment to teamwork.

Overview

23
23
years of professional experience

Work History

DME Billing Specialist

Valley Vascular Consultants,PC
07.2023 - Current
  • Researched and resolved billing discrepancies to enable accurate billing.
  • Identified, researched, and resolved billing variances to maintain system accuracy and currency.
  • Worked with multiple departments to check proper billing information.
  • Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
  • Collaborated with healthcare team to ensure billing codes were accurately applied, optimizing reimbursement from insurance companies.
  • Played key role in annual audit process by providing comprehensive billing records and explanations for variances.
  • Verified eligibility and compliance with authorization requirements for service providers.
  • Contacted insurance companies to obtain prior authorization for medical procedures and medications.
  • Tracked referral submission during facilitation of prior authorization issuance.
  • Input all patient data regarding claims and prior authorizations into system accurately.
  • Maintained files and controlled records to show correspondence activities.

Insurance Billing Specialist

Comprehensive Anesthesia Services
08.2002 - 12.2022
  • Minimized errors in claims submissions through regular cross-checking of CPT and ICD codes against medical documentation.
  • Assisted colleagues during peak workload periods, demonstrating strong teamwork and commitment to overall departmental success.
  • Collaborated with medical staff to obtain necessary documentation, enabling timely submission of accurate claims.
  • Streamlined billing processes for improved efficiency through the implementation of electronic payment systems.
  • Increased revenue collection by diligently pursuing outstanding claims and negotiating with insurance companies.
  • Ensured strict adherence to HIPAA guidelines while handling sensitive patient information during the billing process.

Education

No Degree - Medical Transcription

Alabama Career College
Huntsville, AL
08-1999

GED -

Union Co High School
Lake Butler, FL
08-1989

Skills

  • Billing systems and software
  • Insurance verification
  • Invoice processing
  • Claims processing
  • Denial management
  • Payment posting
  • Insurance claim processing
  • Authorizations

Timeline

DME Billing Specialist

Valley Vascular Consultants,PC
07.2023 - Current

Insurance Billing Specialist

Comprehensive Anesthesia Services
08.2002 - 12.2022

No Degree - Medical Transcription

Alabama Career College

GED -

Union Co High School

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Cynthia Wilbourn