Debbie Butler
Norwalk
Summary
Self-motivated, confident, well organized individual seeking new opportunity in Billing and Collections, Eligibility, Referrals and Authorization. Team oriented committed to the success of the team and organization. Passion for learning and understanding new concepts. Authorized to work in the US for any employer
Experienced with patient intake procedures and administrative coordination. Utilizes effective communication and organizational skills to enhance operational efficiency. Knowledge of healthcare documentation and patient service protocols, ensuring seamless processes and patient satisfaction.
Overview
17
17
years of professional experience
Work History
Referral Coordinator
Skin and cancer Institute
06.2023 - 06.2025
- Down load in coming faxed referrals via text message, fax, and email.
- Review all referrals, chart notes, and authorization needed for appointments.
- Call PCP for needed or missing documents.
- Call patients to schedule appointments.
- Verify insurance eligibility.
- Create patient charts in EMR.
Billing and Collections Specialist
Sound Solutions Hearing & Balance Centers, Inc.
11.2022 - 02.2023
- Initiate pre-authorizations, re-authorizations, and revised authorizations. Accounts receivable, collections, billing changes, resolve billing denials from insurance carriers, submitting appeals as necessary, initiate and update adjustments to patient accounts. Insurance verification, Developed and maintain working knowledge of current products and services offered by the company and all applicable governmental regulations. Maintain a working knowledge of Medicare, Medicaid, insurance regulations and FDADOT, JACHO and guidelines.
Intake Specialist
BioHorizon Medical
06.2022 - 08.2022
- Intake new patient orders, verify insurance, request documents, auth, CMN, or whatever is needed for clean claims.
Reimbursement Specialist
Smooth Moves Employment Agencies
10.2020 - 04.2022
- Initiate pre authorizations and re-authorizations.
- Review patient accounts to resolve medical billing delays
- Review explanation of benefits and resolve under payments, overpayments, and recoupments for patient accounts.
- Collections Specialist
- Accounts receivable, collections, billing changes, and process patients statements.
- Resolve billing denials from insurance carriers, submitting appeals as necessary, initiate and update adjustments to patients accounts.
- Developed and maintain working knowledge of current products and services offered by the company and all applicable governmental regulations.
- Maintain a working knowledge of Medicare, Medicaid, insurance regulations, and FDA/DOT, JACHO and guidelines.
Customer Service Representative/Medical billing and coding
Rotech Healthcare
01.2008 - 01.2020
- Initiate pre-authorizations and re-authorizations for Durable Medical Equipment
- Complete Certificates of Medical Necessity
- Coordinate patient care with physicians and other medical providers
- Review patient accounts to resolve medical billing delays
- Review patient records to ensure patients meet eligibility criteria
- Collections Specialist
- Accounts Receivable, collections, billing changes, and process patient statements
- Resolve billing denial from insurance carriers, submitting appeals as necessary initiate and updated adjustments to patient's account
- Managed all aspects of intake: answering the phone and receiving faxes, collecting patient and referral source information, inputting data into IMBS, printing tickets, assembling charts and processing paperwork.
- Prepared tickets for daily routes.
- Prepared complete files for billing department.
- Developed and maintain working knowledge, of current products and services offered by the company and all applicable governmental regulations.
- Maintain a working knowledge of Medicare, Medicaid, insurance regulations, and FDA/DOT JCAHO and guidelines.
Collection Specialist Internship
Medsource
01.2008 - 01.2008
Education
High school diploma -
Norwalk High School
Norwalk, CA06.1983
Certificate - Certified Medical Administrative Specialist
Certified Career Institute
Clearfield, UT11-2008
Skills
- Financial Assistant Processing
- Scheduling Coordination
- Medicare
- CPT Coding
- Multi Phone Lines
- Multi-line phone proficiency
- Communication skills
- Medical Terminology
- CMS1500
- Insurance Verification
- Medical coding
- Microsoft Excel
- ICD coding
- Filing
- Analysis skills
- Medical billing
- Face to face Customer Service
- Medical Records
- Basic Accounting Principles
- Customer service
- Written Correspondence
- Microsoft Word
- ICD-10
- B2B
- Front Line Operations
- Documentation review
- Typing
- HIPAA
- Medical Office Experience
- Blood collection expertise
- Coordinate requests for Prior Authorization and referrals
- Customer Service
- Medical Billing and Coding
- Data entry/Ten Key
Timeline
Referral Coordinator
Skin and cancer Institute
06.2023 - 06.2025
Billing and Collections Specialist
Sound Solutions Hearing & Balance Centers, Inc.
11.2022 - 02.2023
Intake Specialist
BioHorizon Medical
06.2022 - 08.2022
Reimbursement Specialist
Smooth Moves Employment Agencies
10.2020 - 04.2022
Customer Service Representative/Medical billing and coding
Rotech Healthcare
01.2008 - 01.2020
Collection Specialist Internship
Medsource
01.2008 - 01.2008
High school diploma -
Norwalk High School
Certificate - Certified Medical Administrative Specialist
Certified Career Institute
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