Summary
Overview
Work History
Education
Skills
Certification
References
Timeline
Generic

Erica Love

Guntersville,AL

Summary

Expert in inputting procedure and diagnosis codes into billing software, ensuring accurate and efficient invoice generation. Extensive experience as an Insurance Billing Specialist with a strong grasp of insurance policies and coding procedures. Proven ability to resolve claim disputes, demonstrating effective problem-solving skills. Recognized for enhancing billing operations and boosting team efficiency through exceptional organizational skills and attention to detail.

Overview

6
6
years of professional experience
1
1
Certification

Work History

Insurance Billing Specialist

Smart Start Pediatrics
Albertville, AL
10.2024 - Current
  • Managed all medical billing processes, ensuring compliance with Royal Health guidelines.
  • Facilitated prior authorizations and Medicaid applications for patient insurance navigation.
  • Resolved claim denials by collaborating with providers on missing charges to enhance accuracy.
  • Generated accurate billing statements reflecting balances owed while adhering to coding standards.
  • Reviewed and resolved billing claims daily with healthcare providers, ensuring documentation accuracy.
  • Maintained proficiency in medical coding systems to verify and process claims efficiently.

Billing Specialist

Albertville Rehab Select
Albertville , AL
02.2024 - 10.2024
  • Developed comprehensive understanding of ICD-10-CM, CPT, and HCPCS codes for accurate medical coding.
  • Resolved billing discrepancies through thorough research to ensure precise invoicing.
  • Provided exceptional customer service by addressing patient concerns regarding insurance claims with professionalism.
  • Minimized claim submission errors through regular cross-checking of codes against medical documentation.
  • Collaborated with departments to verify proper billing information and enhance accuracy.
  • Assisted colleagues in resolving complex billing issues, fostering teamwork and knowledge sharing.
  • Prepared itemized statements and invoices while maintaining detailed records of payment histories.
  • Collaborated with collections team to recover overdue payments, enhancing cash flow management.

Patient Billing Manager

Marshall Medical Centers
Guntersville , AL
06.2019 - 02.2024
  • Managed productivity of billing representatives by analyzing performance reports.
  • Addressed patient inquiries and concerns with logical and effective solutions.
  • Obtained payments on outstanding balances or established arrangements for future payments.
  • Coordinated with third-party statement company for accurate billing statements.
  • Generated various reports for statements and balances in third-party portal.
  • Collaborated with other departments and billing agencies to fulfill patient and organizational needs.
  • Processed department payroll weekly to ensure timely employee compensation.
  • Coordinated staff schedules to optimize coverage and efficiency.

Medical Insurance Specialist

Marshall Medical Centers
02.2019 - 07.2019
  • Worked accounts to insurance the facility received the maximum reimbursements from insurance agencies
  • Review claims after insurance paid and follow up to resolve issues in order to make sure facility gets correct reimbursement
  • Review accounts to make sure the patient liability is correct
  • Work on statistics and productivity reports
  • Work closely with other departments and the primary biller to address issues and get the claim resolved.

Education

High School Diploma -

Albertville High School
Albertville, AL

Some College (No Degree) -

University Of North Alabama
Florence, AL

Skills

  • Medical coding and billing
  • Claim resolution and submission
  • Insurance verification and prior authorization
  • Customer service and support
  • Cash flow management
  • Data analysis and attention to detail
  • Team collaboration and teamwork
  • Problem solving and multitasking
  • Regulatory compliance and documentation accuracy
  • HCPCS and ICD-10 coding expertise
  • HIPAA compliance and patient confidentiality
  • Denial management and payment posting
  • Accounts receivable management
  • Time management and organizational skills
  • Microsoft Office proficiency

Certification

  • Certified Medicaid Application Assertor
  • Enrolled in AAPC Billing/ Coding Certification

References

References available upon request.

Timeline

Insurance Billing Specialist

Smart Start Pediatrics
10.2024 - Current

Billing Specialist

Albertville Rehab Select
02.2024 - 10.2024

Patient Billing Manager

Marshall Medical Centers
06.2019 - 02.2024

Medical Insurance Specialist

Marshall Medical Centers
02.2019 - 07.2019

High School Diploma -

Albertville High School

Some College (No Degree) -

University Of North Alabama

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