Healthcare administration professional with experience in medical billing, provider enrollment, and insurance follow-up. Coordinates cross-department workflows and maintains accurate records. Ensures clear communication, compliance, and efficient office operations.
Overview
1
1
Certification
26
26
years of professional experience
Work History
Billing / Administrative Services Supervisor
Advanced Rheumatology, PC
Okemos, MI
06.2012 - Current
Supported insurance verification, prior authorization follow-up, and claims assistance tasks.
Communicated with insurance carriers to complete provider enrollment and maintain billing access.
Processed enrollments for Medicaid, Medicare, and private insurance plans.
Handled customer communication, including inquiries, meeting requests, and billing questions, while providing strong care.
Resolved customer complaints in calm, professional manner.
Completed operational tasks to strengthen support for senior management.
Suggested improvements for administrative service operations.
Worked with multiple departments to support efficient office operations.
Served as liaison for work unit during meetings and conferences regarding requests and complaints.
Monitored expiration dates for licenses, DEA registrations, and professional attestations.
Worked with physicians to complete hospital applications on time.
Maintained provider database with contact details and licensure expiration dates.
Managed confidential files related to provider credentials.
Responded to verification inquiries from other healthcare organizations and insurance companies.
Billing Specialist
Justus J. Fiechtner, MD, PC
Lansing, MI
08.2000 - 06.2012
Processed patient and insurance billing for private medical practice accounts.
Ensured accuracy and completeness of insurance claims to facilitate prompt processing.
Followed up on unpaid balances with patients and carriers.
Supported billing workflow with physician office staff.
Corrected billing discrepancies and processed refunds to uphold financial integrity.
Worked with patients to set up payment arrangements when needed.
Tracked collections, adjustments, and denials to maintain accurate financial records.
Monitored accounts receivable activity to support timely invoice payment.
Reviewed billing statements for correct diagnostic codes and identified coding issues.
Attended workshops, seminars, and training classes to stay current on industry updates and federal regulations.
Administrative & Billing Specialist at HCA (Overseeing both Los Gatos Surgical Center & Endoscopy Center of Silicon Valley – Los Gatos & San Jose, CA)Administrative & Billing Specialist at HCA (Overseeing both Los Gatos Surgical Center & Endoscopy Center of Silicon Valley – Los Gatos & San Jose, CA)