Driven Medical Biller motivated to perform beyond expectations.
Overview
3
3
years of professional experience
Work History
Medical Biller
Roots Behavioral Health
12.2022 - Current
Ran reports on EMR system to determine where balances from both patients and insurance were occurring.
Posted payments from ERA and EOBs
Liaised between patients, insurance companies, and billing office.
Reviewed patient records, identified medical codes, and created invoices for billing purposes.
Reviewed patient diagnosis codes to verify accuracy and completeness.
Communicated with insurance providers to resolve denied claims and resubmitted.
Knowledge of CPT and diagnostic codes
Verified insurance of patients to determine eligibility.
Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
Responded to customer concerns and questions on daily basis.
Care Coordinator
Roots Behavioral Health
11.2021 - 11.2022
Was first point of contact for inquiring patients,
Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
Worked closely with patients to deliver excellent and direct individualized patient care.
Assisted patients with completing necessary paperwork and forms to provide healthcare facilities with essential information to bill for services.
Completed resident assessments in accordance with current regulations and guidelines.
Supported clients with mental support and physical activities to accomplish quality of life and sustain needs.
Used company software and databases to maintain records of services performed and patient conditions.
Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
Built strong relationships with clients to deliver emotional support and companionship.
Supported patient care excellence via planning and interpretation of programs.
Maintained confidentiality of patient data and condition to safeguard health information.
Front Desk Receptionist
Roots Behavioral Health
03.2021 - 10.2021
Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
Maintained organized and clean front office area to create professional and welcoming environment for visitors and employees.
Scheduled, coordinated and confirmed appointments and meetings.
Resolved customer issues quickly and notified supervisor immediately when problems escalated.
Collected room deposits, fees, and payments.
Completed data entry and filing to keep records updated for easy retrieval.
Answered multi-line phone system to respond to inquiries and transfer calls to correct departments and personnel.
Behavior Technician
Center For Autism And Related Disorders, Inc
08.2020 - 03.2021
Developed and implemented reinforcement systems to encourage positive behaviors.
Documented interventions, assessments and progress reports on database to enable tracking history and maintain consistent records.
Promoted positive interactions with children with ADHD, Autism and oppositional defiance behavior by using visual supports, simplifying communication, and utilizing stress scales to turn emotions into concrete concepts.
Observed, monitored and recorded problem behaviors through accurate behavior-consequence data collection, graphs, and anecdotal notes.