Estelle Simpson-Helm
Elizabethtown,USA
Summary
Dynamic and detail-oriented Billing Specialist with proven expertise at Physicians Rehab Solution in insurance verification and claims resolution. Adept at fostering cross-functional teamwork and enhancing operational efficiency, I excel in maintaining data confidentiality while delivering high-quality customer service. Committed to optimizing processes and ensuring compliance in fast-paced environments.
Overview
28
28
years of professional experience
Work History
PT and OT Therapy Billing Specialist II
Physicians Rehab Solution
Elizabethtown, USA
04.2024 - Current
- Manage all aspects of Physical and Orthopedic Therapy claim submission, Account Receivable, and payment allocations
- Maintained high levels of data confidentiality, adhering to strict security protocols and guidelines
- Reduced errors and increased efficiency through thorough proofreading and editing of entered data
- Responsible for 4 clinics in the Mississippi area and maintaining a strong rapport fostering open communication for effective team work
- Developed strong working relationships with external Insurances such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes
- Verify Authorizations and referrals from Insurance groups and implement to patient charts
- Field patient calls from all clinics to assist with payments, Insurance coverage questions, and payment plan options
Billing and Business Administrator
Family Medicine Specialists
Peachtree City, USA
06.2019 - 03.2024
- Billing resolution and Insurance verification
- Staffing schedules & workflow
- Check-in & Check-out of patients
- Balancing and depositing monies Medical Records management to reduce errors in accounting and financial reporting by modifying current processes
- Bookkeeping
- Assistant to Business Manager
Data Entry Administrator
Association of State Provincial Psychology Boards
Peachtree City, USA
04.2019 - 08.2019
- Verified licensure for psychologists in the states where they practiced during virtual patient visits
- Ensured current patients and Dr.'s were connected virtually
- Increased operational efficiency through accurate data entry and meticulous record keeping practices
- Documented and verified Psychologists' credentials
- Maintained high levels of data confidentiality, adhering to strict security protocols and guidelines
- Reduced errors and increased efficiency through thorough proofreading and editing of entered data
Claims Specialist
Zodiac Aerospace
03.2018 - 01.2019
- Company Overview: Company Overview: aviation parts, sale, and distribution
- Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills
- Followed up with customers on unresolved issues
- Collaborated with cross-functional teams to optimize claims handling procedures, resulting in improved productivity
- Company Overview: aviation parts, sale, and distribution
Business Administrator
The VanAllen Group
07.2016 - 03.2018
- Company Overview: Company Overview: Private aircraft acquisition
- Coordinated company-wide events, including conferences, meetings, and workshops, ensuring seamless execution and positive attendee experience
- Streamlined office processes by implementing new project management software and training staff on its usage
- Developed strong relationships with clients and vendors, ensuring timely communication and issue resolution
- Managed day-to-day operation of the office
- Company Overview: Private aircraft acquisition
Airport Customer Service Representative
Alaska Airlines
Atlanta, USA
01.2014 - 01.2015
Copyright Project Manager
Pearson Education
Boston, USA
09.2008 - 01.2014
Lead Flight Attendant
DELTA AIRLINES
Atlanta, USA
03.1997 - 09.2008
Education
Medical Coding & Billing Certificate -
West Georgia Technical College
Newnan, GA05.2024
Associate Degree - Liberal Arts
Macomb Community College
Warren, MI05.1994
Skills
- Excellent communication: written, verbal, and listening
- Insurance verification
- Medical coding
- Attention to detail
- High-Quality Customer Service
- Microsoft Software Proficiency
- Complaint Resolution Expertise
- Patient Documentation Compliance
- Cross-Cultural Communication
- Performance Assessments
- Proficient in EMR Software (Athena Health, eClinicalWorks, ModMed, WebPT)
- Cross-Functional Teamwork
- Effective Issue Identification
Timeline
PT and OT Therapy Billing Specialist II
Physicians Rehab Solution
04.2024 - Current
Billing and Business Administrator
Family Medicine Specialists
06.2019 - 03.2024
Data Entry Administrator
Association of State Provincial Psychology Boards
04.2019 - 08.2019
Claims Specialist
Zodiac Aerospace
03.2018 - 01.2019
Business Administrator
The VanAllen Group
07.2016 - 03.2018
Airport Customer Service Representative
Alaska Airlines
01.2014 - 01.2015
Copyright Project Manager
Pearson Education
09.2008 - 01.2014
Lead Flight Attendant
DELTA AIRLINES
03.1997 - 09.2008
Medical Coding & Billing Certificate -
West Georgia Technical College
Associate Degree - Liberal Arts
Macomb Community College
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