Doris White-Trussell
Jackson,USA
Summary
Dedicated Medical Biller with extensive experience in managing complex billing accounts and resolving disputes. Proficient in medical billing software, including Greenway Prime Suites and Epic systems. Highly skilled in insurance claims processing and patient account reconciliation. Adept at collaborating with teams to ensure efficient billing practices.
Overview
17
17
years of professional experience
Work History
Medical Billing Specialist
Arch Management Strategies, PLLC
09.2021 - 04.2025
- Solely responsible for managing the billing and claims department at private medical practice
- Identify medical coding procedure or fee errors and omissions, making necessary adjustments to patient accounts dependent on negotiated rates
- Provide insurance companies with additional documentation or records (if requested) to expedite payments and resolve denials
- Accurately interpret EOBs and post $50K+ daily to patient ledgers
- Checkout patients after clinic appointment, schedule follow-up appointments/ office procedures.
- Medical Records, FLMA paperwork & Referrals from outside physicians
- Remote
BILLING SPECIALIST
EYE CARE PROFESSIONAL
01.2020 - 12.2021
- Prepared, reviewing and submitting optical insurance claims electronically and by paper, insurance payment posting and ensuring accuracy of claims paid, follow up with insurance payors on processed claims, denials or uncompleted claims.
- Billed out claims for contact lenses / filled contact orders at patients request
- Referrals from outside physicians
- Surgery pre cert
- Remote part-time
Medical Billing Specialist/ Workers Claims Entry Follow-up
PLASTIC & HAND SURGERY ASSOC.
09.2008 - 01.2020
- Reviewed and verified workers comp cases with adjusters and claims management team
- Investigated denials and collaborated with internal team members, case manager to identify solutions Coordinated communications between patients AR report denials and collaborated with insurance carrier for missing payment or denied claims for appeals
- Data entry for all workers comp claims, refunds
- Billing private insurance carriers submitted refunds on claims paid in error and tracked all accounts for complete reimbursements
Education
Some College (No Degree) - Business Administration
Mississippi Valley State University
Itta Bena, MS06-1986
Skills
- Billing and claims management
- Quality-oriented team player
- Greenway Prime Suites and Epic systems
- Accounts receivable follow-up
- Customer service etiquette
- Insurance follow-up strategies
- Imagine Billing software expertise
- Effective communication
- Patient account reconciliation
- Compliance knowledge
- Medical billing software
- Health information management
- Denial management
- Time management
- Team collaboration
- CPT knowledge
- Bill payment
- Medicare and Medicaid process
- Database systems
- Patient billing
- Accounts payable
- Disability claims process
- HIPAA compliance
- Collections management
- Balance reconciliation
- Customer service
- Data entry
- Information inputting
- CMS-1500 billing forms
- Electronic health record software
- Critical thinking
- CPT code modifiers
- Billing codes
- ICD-10 coding
- Multitasking and organization
- Commercial and private insurance
- Verbal and written communication
- Patient collections
- Insurance claims processing
- Medical claims submission
- Collection calls
- Reimbursements
- Problem solving
- Attention to detail
References
References available upon request.
Timeline
Medical Billing Specialist
Arch Management Strategies, PLLC
09.2021 - 04.2025
BILLING SPECIALIST
EYE CARE PROFESSIONAL
01.2020 - 12.2021
Medical Billing Specialist/ Workers Claims Entry Follow-up
PLASTIC & HAND SURGERY ASSOC.
09.2008 - 01.2020
Some College (No Degree) - Business Administration
Mississippi Valley State University
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