Roxanne Owens
Billing Specialist/Financial Coordinator
Molena,GA
Summary
Adept at navigating complex billing systems and enhancing customer satisfaction. My expertise in insurance claims processing and exceptional customer service skills led to a notable increase in revenue retention and future growth for the company. I excel in fostering strong client relationships and streamlining insurance verification processes, ensuring compliance and maximizing reimbursement.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
21
21
years of professional experience
Work History
Billing Specialist/Financial Insurance Coordinator
Spalding County Dialysis
03.2004 - Current
- Researched and resolved billing discrepancies to enable accurate billing.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Worked with multiple departments to check proper billing information.
- Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
- Maintained detailed records of each account''s payment history, providing easy access to information for audit and analysis purposes.
- Ensured compliance with industry regulations by staying up-to-date on changes in billing rules and guidelines.
- Strengthened client relationships through effective communication regarding billing issues and concerns.
- Assisted in transition to electronic billing, reducing paper waste and improving operational efficiency.
- Increased revenue retention by setting up follow-up system for outstanding payments.
- Facilitated staff training on new billing software, enhancing team productivity and billing accuracy.
- Collaborated with healthcare team to ensure billing codes were accurately applied, optimizing reimbursement from insurance companies.
- Contributed to positive work environment by offering support and guidance to junior billing staff.
- Maintained up-to-date knowledge of billing regulations and compliance requirements, ensuring adherence to legal standards.
- Negotiated with insurance companies to resolve disputed claims, securing rightful payments.
- Fostered strong relationships with healthcare providers and insurance representatives to facilitate efficient resolution of billing issues.
- Responded to customer concerns and questions on daily basis.
- Used data entry skills to accurately document and input statements.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Audited and corrected billing and posting documents for accuracy.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
- Verified insurance and communicated coverage to staff and patients.
- Assisted clients with understanding complex insurance policies, effectively addressing concerns or questions.
- Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.
- Filed and tracked insurance claims and communicated claims status to patients.
- Obtained prior authorization and precertification for outpatient procedures.
- Prepared insurance claims for submission to clearinghouses or insurance companies.
- Referenced monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement.
- Achieved revenue goals by managing collections and accounts receivables, referral process, and insurance billing.
- Contributed positively to team morale by consistently demonstrating a collaborative attitude and willingness to support colleagues.
- Analyzed data from various sources to identify patterns in claims activity, allowing for more effective prevention strategies moving forward.
- Negotiated with insurance carriers to secure competitive rates for clients, enhancing customer satisfaction.
- Fostered strong relationships with clients through regular follow-ups, enhancing customer loyalty.
- Maintained up-to-date knowledge of insurance regulations, ensuring company compliance with current laws.
- Assisted in resolving complex insurance claims, liaising between clients and providers for favorable outcomes.
- Optimized insurance renewal processes, ensuring clients received timely notifications and options for adjustments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Posted payments to accounts and maintained records.
- Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
- Generated, posted and attached information to claim files.
- Maintained confidentiality of patient finances, records, and health statuses.
- Collected premiums and issued accurate receipts.
- Processed and recorded new policies and claims.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Notified insurance agents and accounting departments of policy cancellations and changes.
Education
Associate of Science - Physical Education
Gordon College
Barnesville, GAHigh School Diploma -
Griffin High
Griffin, GASkills
- Billing Software Proficiency
- Claims Processing Expertise
- Proficient in Insurance Verification Tools
- Facilitation of Financial Resources for Dialysis Patients
- Insurance Coverage Support
- Accounts Receivable Management
- Claim Processing Expertise
- Simultaneous Task Handling
- Microsoft Office Proficiency
- EclinicalWorks Payment Posting
- DDE System Data Entry
- Authorization Processing and Maintenance
- Private insurance ( knowledge of all carriers and have Out of Network experience in obtaining maximum reimbursement for claims)
Timeline
Billing Specialist/Financial Insurance Coordinator
Spalding County Dialysis
03.2004 - Current
Associate of Science - Physical Education
Gordon College
High School Diploma -
Griffin High