Efficient billing professional with over 15 years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.
Overview
23
23
years of professional experience
Work History
Medical Billing and Collections Specialist- Remote
Prime Diagnostic Imaging & Memorial MRI Diagnostic
Houston, TX
05.2024 - Current
Compiled and tracked outstanding balances owed to medical facilities.
Processed online and paper appeal submissions and refund requests.
Processed billing calls and answered questions from patients and third-party carriers.
Corrected, completed and processed claims for multiple payer codes.
Manual posting of insurance zero payments
Contributed significantly towards reducing the number of denied claims by identifying potential issues upfront during the initial review phase of the process.
Audited and corrected billing and posting documents for accuracy.
Medical Billing and Collections Specialist-Remote
Clear Choice Imaging
Fort Worth, TX
11.2023 - 05.2024
Compiled and tracked outstanding balances owed to medical facilities.
Processed online and paper appeal submissions and refund requests.
Processed billing calls and answered questions from patients and third-party carriers.
Corrected, completed and processed claims for multiple payer codes.
Manual posting of insurance zero payments
Contributed significantly towards reducing the number of denied claims by identifying potential issues upfront during the initial review phase of the process.
Audited and corrected billing and posting documents for accuracy.
Medical Billing and Collections Specialist- Remote
Monticello Health Services
Fort Worth, TX
11.2018 - 09.2023
Compiled and tracked outstanding balances owed to medical facilities.
Processed billing calls and answered questions from patients and third-party carriers.
Corrected, completed and processed claims for multiple payer codes.
Processed online and paper appeal submissions and refund requests.
Payment Posting - ERA/EFT & Manual
Billing Specialist
Professional Medical Services
Fort Worth, TX
11.2015 - 11.2018
Communicated with insurance providers to resolve denied claims and resubmitted.
Located errors and promptly refiled rejected claims.
Examined patient's 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.
Analyzed complex Explanation of Benefit forms to verify corrected billing of insurance carriers.
Appealed claims for additional payment.
Accounts Receivable Specialist
Texas Health Care, PLLC
Fort Worth, TX
12.2011 - 09.2015
Insurance carrier and patient calls
Verified/corrected insurance
Audited Accounts
Mailed claims and medical records
Appealed claims
Accounts Receivable
Cleburne Physical Therapy
Cleburne, TX
10.2001 - 05.2011
Retrieved and submitted medical records
Review data entry
Daily bank deposits
Dispersed mail
Answered phone calls
Audited accounted
Front desk coverage
Filing and scanning
Education
Nursing -
Hill College Johnson County Campus
Cleburne, TX
High School Diploma -
Cleburne High School
Cleburne, TX
01.2002
Skills
Medical Billing and Collections
Quality Improvement
Microsoft Office
Computational Abilities
Customer Service
Knowledge - HIPAA guidelines
Data Entry
NexGen
Epic
Ramsoft
Allscripts
PracticeSuite
References
Lola Mckee, 972-333-3118
MaryAnn Mahan, 682-936-9233
Tina Hove, 682-317-8147
Timeline
Medical Billing and Collections Specialist- Remote
Prime Diagnostic Imaging & Memorial MRI Diagnostic
05.2024 - Current
Medical Billing and Collections Specialist-Remote
Clear Choice Imaging
11.2023 - 05.2024
Medical Billing and Collections Specialist- Remote