Summary
Overview
Work History
Education
Skills
Authorized To Work
Personal Information
Languages
Timeline
Generic

Fathia Idrisu

Houston,TX

Summary

Quality-focused Medical Biller that offers a strong track record of over more than 2 years in settling and resolving complex patient billing accounts. Thoroughly experienced in handling medical charges and invoicing. Tech-savvy approach to understanding and resolving difficult areas of dispute.

Overview

5
5
years of professional experience

Work History

Medical Billing Specialist

Continuum
Texas, TX
11.2021 - Current

1. Accurately reviewied and verified patient information, medical records, and insurance details to ensure proper billing and coding.

  • Ensured HIPAA compliance by maintaining confidentiality of all patient information.
  • Processed credit card payments from patients in accordance with office policy.

2. Generated and submitted claims to insurance companies or government healthcare programs for reimbursement.

3. Followed up on unpaid or denied claims by communicating through Fax, Call, and Emails to insurance companies, patients, or healthcare providers to resolve any issues.

4. Processed payments received from insurance companies or patients and updating the billing system accordingly.

5. Maintained detailed records of all transactions, including invoices, payments, adjustments, and collections, through CRM software such as Salesforce, Citrix, Peoplesafe and CovermyMeds.

6. Stayed updated on current coding guidelines and regulations to ensure compliance with industry standards through frequently updated insurance payer files.

7. Assisted patients with questions regarding their bills or insurance coverage in a professional and empathetic manner.

8. Collaborated with other members of the healthcare team to address any billing-related concerns or discrepancies.

9. Also also participated in tasks such as preparing third party copay coverage specifically Prudent, financial reports for management review, participated in audits and quality assurance initiatives related to billing practices, and provided training and guidance to other staff members when necessary.

Associate

Amazon
Katy, TX
09.2020 - 10.2021
  • Providing friendly customer service and a fast-paced cooperative retail atmosphere
  • Training new employees to uphold the Amazon company policy, sustain customer service satisfaction, and educating them on the point of sale system
  • Removing merchandise and items from the backroom to stock on sales floor shelves and building special sales displays on the sales floor
  • Liaising and communicating with customers that seek products and solutions to various problems
  • Ensuring that display cases, shelves, and aisles are kept clean and well-maintained with constant cleaning practices
  • Ensuring conformity by locating items in storage areas and comparing the information on them with work orders
  • Scanning products and physically placing them in their various bar-coded locations
  • Inspecting and/or examining each item to ensure that they are not damaged.

Front Desk Receptionist/Office Assistant

Ego Family practice
Houston, TX
05.2019 - 08.2020
  • Schedule appointments, call for follow up, take payments, document patient information
  • Consult with customers on health-related products and services to provide the best solutions for their health and financial well-being
  • Assist Medicare-eligible individuals in selecting the products and services that best meet their needs
  • Answer questions related to coverage and annual changes on healthcare plans, pharmacy networks, and drug formularies
  • Aid customers with the enrollment process
  • Qualify customers to join community meetings and schedule in-home appointments.
  • Assisted with preparing reports, presentations and other documents as requested by management staff.
  • Supplied callers with office address and directions, employee email addresses and phone extensions.
  • Greeted visitors entering establishment to determine nature and purpose of visit.

Education

Associate's degree - Nursing

Houston Community College
Houston, TX
12.2023

High school or equivalent -

Alief Hastings High School

Skills

  • CRM Software Applications Proficiency
  • Files and Records Management
  • Bill Payment
  • Quality-Oriented Team Player
  • Accounts Payable
  • Multitasking and Organization
  • Analytical Skills
  • Claims Review
  • Insurance Claims and Account follow up
  • Billing and Collection Procedures
  • HIPAA Compliance
  • Claims Processing
  • Records Management
  • Submission of Medical Claims
  • Proficiency in Salesforce, Peoplesafe, Excel and Powerpoint
  • Information Inputting
  • 50 WPM
  • Knowledge of Medical Coding {ICD-10/ ICD-9}
  • Attention to Detail
  • Communication Skills
  • Technical Proficiency
  • Knowledge of Insurance Guidelines
  • Problem-Solving Abilities
  • Ethics & Compliance Awareness:
  • Time Management & Organization Skills
  • Customer Service Orientation

Authorized To Work

Authorized to work in the US for any employer

Personal Information

Willing To Relocate: Anywhere

Languages

English
Native/ Bilingual
yoruba
Native/ Bilingual
Afrikaans
Full Professional
Spanish
Limited

Timeline

Medical Billing Specialist

Continuum
11.2021 - Current

Associate

Amazon
09.2020 - 10.2021

Front Desk Receptionist/Office Assistant

Ego Family practice
05.2019 - 08.2020

Associate's degree - Nursing

Houston Community College

High school or equivalent -

Alief Hastings High School
Fathia Idrisu