Summary
Overview
Work History
Skills
Timeline
Generic

Felicia Hall

Seale

Summary

Detail-oriented Customer Service/Administrative Assistant with over 20 years of experience in healthcare services. Efficiently manages crisis and emergency situations while supporting hospital departments. Excels in customer service, sales, and communication, identifying customer needs and recommending company products. Builds trust through exceptional follow-up, generating repeat business. Proficient in resolving escalated customer service issues. Skilled in Microsoft Office System, ProMed, Athena, eClinical, Multi-line phone systems, and Medical Manager.

Overview

25
25
years of professional experience

Work History

Medical Billing Manager

Zoe Pediatrics
01.2022 - Current
  • Prepare and submit accurate medical claims to insurance companies and government payers.
  • Review and verify patient information, diagnoses, and billing codes for completeness and accuracy.
  • Follow up on unpaid or denied claims and resolve billing discrepancies.
  • Communicate with insurance companies, patients, healthcare providers to resolve billing issues, prior authorization and referrals
  • Maintain patient confidentiality and comply with all HIPAA regulations.
  • Generate billing reports and provider updates on claim status to management.

Office Billing Manager

Chambers OBGYN
01.2011 - Current
  • Under general supervision responsible for:
  • Electronic Health records
  • Billing and coding
  • Managing front office staff
  • Processing and disputing claims
  • Authorizations
  • Scheduling appointments
  • Compliant with HIPPA guidelines, etc.

Patient Access Representative

St. Francis Hospital ER
01.2016 - 01.2017
  • Assist, face to face, Patients With Appointments, Prescription refill request, Insurance updates and verification
  • Data Entry, receiving inbound and making outbound calls.
  • Software used is Greenway and Athena, switching over to Cerner
  • Also Process billing and keying patient's charges

Front Office Assistant

Basilio Pediatrics
01.2007 - 01.2009
  • Under general supervision responsible for:
  • Scheduled patient appointments.
  • Verified and filed medical insurance for each patient
  • Entered patient account information in Medical Manger
  • Pulled and prepared charts for patients.

Front Office Assistant

Caring For Kids P. C.
01.2001 - 01.2007
  • Under general supervision responsible for:
  • Scheduled patient’s appointments
  • Entered patient account information in Medical Manger
  • Verified and filed medical insurance for each patient
  • Pulled and prepared charts for patients

Skills

  • Claims processing proficiency
  • HIPAA compliance
  • Effective communication
  • Patient confidentiality practices
  • Collections experience
  • Claims processing
  • Training and mentoring
  • Staff training and development
  • Team building
  • HIPAA
  • Insurance verification
  • Collections
  • Denial management
  • Medical billing expertise
  • Project leadership
  • Invoice processing
  • Staff training
  • Project management
  • Program improvements
  • Revenue cycle management
  • Payment posting
  • Customer service
  • Team leadership qualities
  • Electronic health records experience
  • Accounts receivable management
  • Medical coding expertise
  • CPT coding
  • Denial management strategies
  • ICD-10
  • Collections process handling
  • Multitasking Abilities

Timeline

Medical Billing Manager

Zoe Pediatrics
01.2022 - Current

Patient Access Representative

St. Francis Hospital ER
01.2016 - 01.2017

Office Billing Manager

Chambers OBGYN
01.2011 - Current

Front Office Assistant

Basilio Pediatrics
01.2007 - 01.2009

Front Office Assistant

Caring For Kids P. C.
01.2001 - 01.2007

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Felicia Hall