Delaine Keller
Coker
Summary
Adept at HIPAA-compliant practices and proficient in eClinicalWorks, I significantly reduced claim denials at Advanced Medical Billing of the Southeast through meticulous insurance verification and quality control measures. My strong communication skills ensured effective collaboration with healthcare providers, enhancing patient satisfaction and billing accuracy.
Competent Medical Biller with 26 years of experience in handling wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices.
Overview
17
17
years of professional experience
Work History
Medical Billing Specialist
Advanced Medical Billing of the Southeast
03.2008 - Current
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Collaborated closely with the clinical team to ensure proper documentation was obtained for accurate billing purposes.
- Located errors and promptly refiled rejected claims.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Delivered timely and accurate charge submissions.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
Education
Associate of Applied Science - Business Administration And Management
Shelton State Community College
Tuscaloosa, AL05-1991
Skills
- HIPAA compliance
- Claim submission
- Insurance verification
- eClinicalWorks software applications proficiency
- Claims processing proficiency
- ICD-10 proficiency
- CPT code modifiers
- CMS-1500 billing forms
Timeline
Medical Billing Specialist
Advanced Medical Billing of the Southeast
03.2008 - Current
Associate of Applied Science - Business Administration And Management
Shelton State Community College
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