David Wilcox
Ephrata,PA
Summary
Accomplished Medical Billing Specialist with expertise in healthcare billing and accounts receivable management. Excelled in insurance collaboration and denial management, and enhancing revenue cycle efficiency by more than 20%. Proficient in claims review for Medicare and Medicaid programs, and HIPAA compliance, with a proven ability to develop innovative billing processes and maintain regulatory standards.
Overview
7
7
years of professional experience
Work History
Revenue Cycle Specialist
Company Confidential
01.2023 - 01.2025
- Proficiency with Point Click Care
- Contacted insurance providers to check patient coverage.
- Reviewed patient accounts to ensure accuracy and completeness of information.
- Researched discrepancies on unpaid invoices and reconciled them.
- Ensured all regulatory requirements were met when submitting claims for payment.
- Maintained current knowledge of insurance policies, procedures, regulations, and guidelines.
- Monitored accounts receivables weekly to determine appropriate follow-up action needed.
- Assisted with the development of new processes for billing, coding, collections, and reimbursements.
Dining Attendant
Masonic Villiage
01.2022 - 01.2023
- Conducted regular inspections of equipment used in kitchen areas to ensure proper functioning.
- Adhered to company standards when stocking inventory supplies needed for daily operations.
- Ensured compliance with health and safety regulations while serving food.
- Maintained clean and orderly appearance throughout kitchen and dining area.
Billing Coordinator
Mennonite Home-Lancaster, PA
01.2020 - 01.2022
- Developed strategies for minimizing denials and improving collections processes.
- Responded promptly to customer inquiries related to billing matters.
- Medicare and Medicaid billing
- Performed insurance verification.
- Maintained PHI
Billing Specialist
Caron Treatment Center
06.2018 - 01.2020
- Developed strategies
- Responded promptly to customer inquiries related to billing matters.
- Resolved discrepancies between charges on invoices and those billed to the insurance company.
- Performed insurance verification, pre-certification and pre-authorization.
- Maintained HIPPA regulations
Education
Bachelor's degree - Religion
Liberty University
08.1996
Skills
- Database Updating
- Long-term care facility experience
- Administrative experience
- Medical billing
- Typing
- Resident Funds Management
- Insurance collaboration
- Revenue cycle management
- Computer operation
- Payment posting
- ICD-10
- Accounting and finance experience
- Accounts receivable
- Insurance verification
- Analyzing claims
- Denial management
- Time management
- Medical claim corrections
- Grammar Experience
- Patient interaction
- Insurance prior authorization
- HIPAA
- EMR/EHR
- Organizational skills
- Account Reconciliation
- Communication skills
- Claims review
- Accounts Payable
- Knowledge of Pennsylvania MA programs
- Health insurance knowledge
- Medical explanation of benefits reviews
- Accounts Receivable
- Medical coding
- Medical payment processing
- Medical administrative support
- Private health insurance
- Medicare
- Account reconciliation
- Human resources
- Managing records
- Data entry
- Healthcare billing
- HCPCS
- Medical claim denial management
Languages
English
Personal Information
- Visa Status: Authorized to work in the US for any employer
- Work Permit: Authorized to work in the US for any employer
Timeline
Revenue Cycle Specialist
Company Confidential
01.2023 - 01.2025
Dining Attendant
Masonic Villiage
01.2022 - 01.2023
Billing Coordinator
Mennonite Home-Lancaster, PA
01.2020 - 01.2022
Billing Specialist
Caron Treatment Center
06.2018 - 01.2020
Bachelor's degree - Religion
Liberty University