Diane Navarre
Billing Administration/Insurance Authorization Specialist
Folsom,LA
Summary
Confident Biller with great customer service skills and more than 31 years of experience. Effective team player known for reliability and quick work. Dedicated to accuracy and efficiency. Focused Billing Clerk with 31 years of experience. Skilled in building client and vendor rapport and managing accounts to reduce outstanding balances. Hardworking and energetic with passion for accuracy and efficiency.
Overview
31
31
years of professional experience
Work History
Billing Administration /Insurance Authorization Specialist
Fertility Institute Of New Orleans
Metairie LA
05.2004 - Current
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Executed billing tasks and recorded information in company databases.
- Followed up with appropriate parties to obtain prompt payments.
- Kept all patient information secure and confidential.
- Checked insurance eligibility by making appropriate phone calls and conducting research on services rendered.
- Determined proper codes for medical records and patient services.
- Researched and resolved billing discrepancies to enable accurate billing.
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
- Provided excellent customer service, developing and maintaining client relationships.
- Monitored customer accounts to identify and rectify billing issues.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Reviewed and reconciled customer accounts to manage accuracy of payments.
- Used data entry skills to accurately document and input statements.
- Responded to customer concerns and questions on daily basis.
- Audited and corrected billing and posting documents for accuracy.
- Handled account payments and provided information regarding outstanding balances.
- Collaborated with customers to resolve disputes.
- Maintained accurate records of customer payments.
- Utilized various software programs to process customer payments.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
- Prepared and submitted monthly billing reports to management for financial overview.
- Skilled at working independently and collaboratively in a team environment.
- Self-motivated, with a strong sense of personal responsibility.
- Proven ability to learn quickly and adapt to new situations.
- Worked well in a team setting, providing support and guidance.
- Worked effectively in fast-paced environments.
- Managed time efficiently in order to complete all tasks within deadlines.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Excellent communication skills, both verbal and written.
- Organized and detail-oriented with a strong work ethic.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Paid attention to detail while completing assignments.
- Reviewed appeals for prior authorization requests and communicated with payers to resolve issues.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Input all patient data regarding claims and prior authorizations into system accurately.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Verified eligibility and compliance with authorization requirements for service providers.
Medical Receptionist
Dr. William Farrell
New Orleans, LA
08.1992 - 04.2004
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Checked patient insurance, demographic, and health history to keep information current.
- Helped patients complete necessary medical forms and documentation.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Managed multi-line phone system and pleasantly greeted patients.
- Organized paperwork such as charts and reports for office and patient needs.
- Kept waiting room neat and organized by stacking magazines, removing trash, and cleaning glass.
- Transcribed phone messages and relayed to appropriate personnel.
- Supported office staff and operational requirements with administrative tasks.
- Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability.
- Performed various administrative tasks by filing, copying and faxing documents.
- Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Obtained payments from patients and scanned identification and insurance cards.
- Organized and maintained patient chart filing system to promote quick data finding for staff.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Assisted with medical coding and billing tasks.
- Answered phone calls and messages for Number-physician Type medical facility, scheduling appointments, and handling patient inquiries.
- Received and routed laboratory results to correct clinical staff members.
Education
Mount Carmel Academy
New Orleans, LA05.1976
Skills
- Billing Systems and Software
- Month-End Closing Procedures
- Posting Charges
- Inquiry Requests
- Billing Dispute Resolution
- Filing Appeals
- Information Updates
- Medical Billing and Collections
- ICD-10 Coding
- Patient Information Management
- Insurance Billing Procedures
- Customer Engagement
- Insurance Confirmation
- Financial Management
- Customer Contact
- Account and Ledger Reconciliations
- Fee and Charge Computation
- Validation of Discrepancies
- Charge Slips
- Submitting Insurance Documents
- Correct Errors
- Electronic Document Management System
- Billing
- Benefits Verifications
- Authorization Verification
- Problem Resolution
- Understanding of Insurance Details
- Prior Authorization Processing
- Electronic Health Records Systems
- Data Entry
- Specialist Procedures
Timeline
Billing Administration /Insurance Authorization Specialist
Fertility Institute Of New Orleans
05.2004 - Current
Medical Receptionist
Dr. William Farrell
08.1992 - 04.2004
Mount Carmel Academy