Erin Beth Otters
Summary
Reliable Office Professional with extensive background in conflict resolution and customer care. Skilled at maintaining positive relations with staff and customers in high-volume, fast-paced operations. Highly organized with attention to detail, with the ability to create efficiency in the workplace. Hard-working team player with great communication skills.
Overview
20
20
years of professional experience
Work History
Medical Billing Specialist
Lutz Chiropractic
01.2018 - 09.2023
- Contact Insurance companies for benefit verification, claim resolution
- Responsible for sending claims to various health insurance companies and ensuring claim processing
- Manage patient account balances for patients
- Handled all personal injury cases through completion of treatment
- Assisted receptionist with scheduling appointments, customer payments, insurance related issues
- Maintained patient account balances
- Provided support to doctors with their credentialing, certifications, continuing education, and liability insurance.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Identified and resolved patient billing and payment issues.
- Handled account payments and provided information regarding outstanding balances.
- Used data entry skills to accurately document and input statements.
- Verified insurance of patients to determine eligibility.
Office Manager
Doc's Plumbing LLC
05.2012 - 01.2023
- Answered incoming calls from vendors, contractors, and customers, assisting them with inquiries and concerns
- Delivered exceptional phone and personal communication skills with a positive attitude
- Responsible for typing invoices and entering all receipts and billing statements into QuickBooks
- Monitored, entered, and tracked data for customers through the completion of each job
- Maintained office forms, record keeping, book keeping, and filing systems
- Scheduled appointments for customers at their home, properties, or businesses
- Developed and maintained successful relationships with vendors, suppliers and contractors.
Medical Receptionist
Beaver Dam Community Hospital
10.2015 - 04.2017
- Communicated and interacted effectively with patients, providers, and other inter- and intra-departmental personnel (either over the phone, in person or via email) in a professional, helpful manner to ensure office efficiency and patient satisfaction
- Performed clerical duties including but not limited to: answered multi-line telephones, responded to patient inquiries, patient registration, scheduled patient appointments, copied/printed/scanned/faxed pertinent data for office or patient continuity of care, provided clinic coding and billing support, and handled the maintenance of confidential medical records pertinent to patient care
- Maintained and posted patient billing charges daily for multiple providers as well as made adjustments to submitted charges when necessary
- Participated in performance improvement activities through problem identification, data collection, and support for resolution of problems
- Checked patient insurance, demographic, and health history to keep information current.
- Adhered to strict HIPAA guidelines to protect patient privacy.
Network Account Manager
Aetna
01.2009 - 04.2012
- Developed strong relationships with network providers and internal business partners leading to the achievement of provider satisfaction, medical cost targets, network growth and efficiency targets
- Negotiated contracts and other understandings on behalf of the company
- Responsible for developing and maintaining relationships with physician and business leadership of key physician groups, ancillary providers, and delivery systems
- Collaborated on more complex issues within provider groups to ensure provider needs were met and outstanding issues were resolved
- Handled credentialing inquiries from providers, requests for participation with Aetna, provider demographic audits, as well as numerous team projects.
- Built and strengthened long-lasting client relationships based on accurate price quotes and customer-centric terms.
- Gained customer trust and confidence by demonstrating compelling, persuasive and composed professional demeanor.
Case Development Associate
United Health Group
12.2003 - 09.2008
- Worked with members on coordination of health insurance benefits, and assisted with provider relations
- Responsible for gathering information by phone, mail, fax, and web searches on healthcare participants and their dependents, with the goal of reimbursing medical claims
- Determined the processing of incoming evaluations on members, opened and closed cases on insurance claims where third party liability for future subrogation was suspected
- Communicated with attorneys and insurance companies for investigation with motor vehicle accidents, workers compensation, and liability suits.
Education
Associate of Arts - Health Administration
Axia College of University of Phoenix
Phoenix, AZ12.2007
Skills
- Data Entry
- Account Management
- Healthcare Terminology
- HIPAA Compliance
- Microsoft Office
- Customer Service
- Critical Thinking
Accomplishments
- Increased office organization by developing more efficient filing systems and customer database protocols.
- Received merit raises for strong attention to detail, exemplary customer service, and team-player attitude.
References
References Available Upon Request
Timeline
Medical Billing Specialist
Lutz Chiropractic
01.2018 - 09.2023
Medical Receptionist
Beaver Dam Community Hospital
10.2015 - 04.2017
Office Manager
Doc's Plumbing LLC
05.2012 - 01.2023
Network Account Manager
Aetna
01.2009 - 04.2012
Case Development Associate
United Health Group
12.2003 - 09.2008
Associate of Arts - Health Administration
Axia College of University of Phoenix
Similar Profiles
JESSICA BOYERJESSICA BOYER
Assistant Daycare Teacher at Lutz PreschoolAssistant Daycare Teacher at Lutz Preschool
Juliet LutzJuliet Lutz
Design Assistant at Jennifer Lutz Interiors, INCDesign Assistant at Jennifer Lutz Interiors, INC
Victor ParkVictor Park
Senior Accountant at Lutz & AssociatesSenior Accountant at Lutz & Associates