Elaine Hatch
Ormond Beach
Summary
Medical billing specialist skilled in claims submission, insurance verification, and revenue cycle management. Proficient in utilizing EHR systems, managing accounts receivable, and identifying process improvements to ensure compliance and maximize revenue.
Overview
36
36
years of professional experience
Work History
Medical Billing Specialist
Personal-Touch Home Care
Newport News
05.2010 - Current
- Processed and submitted medical claims to insurance companies, ensuring accuracy and adherence to billing guidelines
- Verified patient information, including demographics and insurance coverage, to ensure proper billing procedures
- Followed up on unpaid or denied claims to resolve issues with insurance companies and secure payment
- Responded promptly to inquiries from patients, insurance companies, and other stakeholders regarding billing matters
- Utilized electronic health record (EHR) systems and specialized software for accurate data entry and claim processing
- Managed accounts receivable by tracking outstanding balances, following up on overdue payments, and resolving discrepancies
- Generated monthly financial reports detailing outstanding balances, and collection efforts
- Collaborated with coding specialists to ensure proper code assignment based on medical records
- Maintained confidentiality of patient information in accordance with HIPAA regulations
- Cultivated strong relationships with insurance company representatives to facilitate efficient claims processing
- Identified and implemented process improvements within billing department to enhance overall efficiency
- Researched and resolved billing discrepancies or issues in a timely manner
- Assisted patients with understanding their insurance coverage and explaining any billing-related questions or concerns
- Demonstrated proficiency in using medical billing software systems for data entry, claims processing, and reporting purposes
- Investigated denied claims by reviewing documentation thoroughly before submitting appeals if necessary
- Supported project efforts to recover payments from health care plans totaling $300,000.00
Warehouse Manager Assistant
Mattress Discounters
Virginia Beach
08.2008 - 05.2010
- Efficiently organized and maintained inventory in accordance with company standards
- Received, inspected, and documented incoming shipments of products
- Assisted in conducting physical inventory counts, ensuring accurate stock reconciliation and maintaining inventory integrity
- Collaborated with team members to ensure timely completion of daily tasks, enhancing overall workflow
- Communicated effectively with supervisors to address inventory and operational issues, facilitating prompt resolution and operational continuity
Inventory Specialist & Production Manager
Ocean to Ocean Seafood Sales
Virginia Beach
07.1990 - 03.2008
- Ensured accuracy of inventory through regular audits and reconciliations.
- Coordinate physical inventories.
- Managed shipping and receiving operations to enhance inventory accuracy and streamline warehouse processes.
- Coordinated transportation of products between warehouses and retail locations.
- Coordinated claims with insurance carrier and surveyors to resolve discrepancies and facilitate timely reimbursements.
- Managed accounts payables and accounts receivables.
- Ordered packaging supplies & managed packaging inventory.
- Ensure that FDA & HACCP regulations are enforced.
- Support third party auditors.
- Schedule inspections with United States Department of Commerce.
Education
Medical coding & billing certification - Medical Billing & Coding
Tidewater Community College
Norfolk, VA05-2009
Skills
- Claims processing and submission
- Claims management
- Payment reconciliation
- Accounts receivable and payable
- Collections management
- Revenue cycle management
- EHR systems management
- HIPAA compliance
- Effective communication skills
- Debt recovery
- Customer service
- MatrixCare, Allscripts, Netsmart experience
Timeline
Medical Billing Specialist
Personal-Touch Home Care
05.2010 - Current
Warehouse Manager Assistant
Mattress Discounters
08.2008 - 05.2010
Inventory Specialist & Production Manager
Ocean to Ocean Seafood Sales
07.1990 - 03.2008
Medical coding & billing certification - Medical Billing & Coding
Tidewater Community College