Dynamic and results-driven professional with a proven track record at McEwen & Associates, specializing in remittance processing and billing discrepancies resolution. Leveraged banking software proficiency and exceptional attention to detail to enhance transaction accuracy and customer satisfaction. Demonstrated critical thinking and proactive problem-solving, significantly improving operational efficiency and client retention.
Overview
16
16
years of professional experience
Work History
Remittance Processing Specialist
McEwen & Associates
Irving, TX
07.2019 - Current
Managed high-volume transactions during peak periods while maintaining exceptional attention to detail and an unwavering commitment to quality control.
Multi Specialty Billing Agency.
Posting of electronic/paper remittance.
Pulling/posting missing payments from websites.
Posting denials for appeals department.
Balancing bank sheets.
Daily and Monthly reporting for close outs.
Follow-Up Specialist
Fort Worth Brain And Spine
Fort Worth, TX
02.2018 - 04.2018
Reduced response times, proactively monitoring client accounts to address potential issues before escalation.
Improved customer satisfaction by promptly addressing and resolving follow-up inquiries.
Participated in regular team meetings, sharing insights and experiences to collectively improve the effectiveness of follow-up strategies.
Acted as a liaison between customers and internal departments, facilitating smooth communication throughout the resolution process.
Increased customer retention rates by providing personalized support and solutions tailored to individual needs.
Assisted management in creating monthly reports detailing overall performance metrics related to follow-up success rates and customer satisfaction.
Billing Specialist
Orthopedic Spine Surgery Institute
North Richland Hills, TX
04.2008 - 02.2018
Researched and resolved billing discrepancies to enable accurate billing.
Monitored customer accounts to identify and rectify billing issues.
Identified, researched, and resolved billing variances to maintain system accuracy and currency.
Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
Provided excellent customer service, developing and maintaining client relationships.
Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
Developed a comprehensive understanding of ICD-10-CM, CPT, and HCPCS codes to ensure proper use in medical coding assignments.
Provided exceptional customer service to patients, addressing their concerns regarding insurance claims or billing issues with empathy and professionalism.
Maintained patient confidentiality by adhering to strict HIPAA regulations during all aspects of the coding and billing processes.
Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
Collaborated with healthcare providers to obtain necessary documentation for accurate code assignment and claim submission.
Attained up-to-date knowledge of coding requirements through continuing education courses and certification renewal.
Reduced errors in medical billings, effectively addressing discrepancies and rectifying issues promptly.
Optimized revenue generation through diligent monitoring of denied claims, resubmitting corrected information when needed.