Knowledgeable billing specialist with solid history of managing billing processes and ensuring accurate financial records. Adept at resolving discrepancies and improving billing procedures. Demonstrated proficiency in utilizing accounting software and maintaining organized records.
Overview
3
3
years of professional experience
Work History
Billing Specialist
FYZICAL Therapy and Balance Centers
07.2024 - Current
Managing 4 clinics billing in the Dallas-Fort Worth area, including submitting an average of 300 claims weekly across 8 providers
Collaborating with 15+ medical providers across the metroplex to ensure referrals, demographic information, and documentation is in compliance.
Verifying patients insurance benefits and eligibility utilizing both telephone and online portals, while managing inquiries about patient balances, referrals from local providers, and obtaining prior authorizations as needed.
Reconciling accounts receivable alongside researching current insurance reimbursement rates across physical therapy CPT codes to maximize revenue.
Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
Account Manager
Brady Billing
10.2022 - 07.2024
Established relationships with 50+ providers nationwide including family medicine, durable medical equipment, and sleep medicine.
Accurately reviewed and analyzed patient medical records to provide insurance companies with proof of medical necessity.
Ensured claims were being submitted, followed up on, and if needed, appealed in compliance with various insurance timely filing rules.
Scrubbed claims prior to submission to validate patient demographics, provider information, and coding on all outgoing CMS-1500 forms.
Managing inquiries about onboarding, policies, and pricing through e-mail, phone, and facsimile. Closely review audits and policies from insurance companies as they evolve.
Customer Service Representative
Texas Family Fitness
12.2021 - 10.2022
Managed front desk operations including 100+ daily check-ins, retail transactions, updating patient demographics, incoming member enrollment, and class bookings.
Provided members with education on supplements and amenities available to them within the gym.
Maintained the cleanliness of locker rooms and gym floor area to ensure sanitary compliance as well as comfort to guests.
Answered inquiries about enrollment, membership upgrades, gym policies, and billing questions in person, by telephone, and online.