Dedicated medical biller with 5 years of experience in accounts receivable management, insurance claims processing, and patient billing inquiries. Proven ability to resolve complex billing issues, audit accounts, and ensure compliance with healthcare billing regulations. Skilled in posting payments, coordinating follow-ups, and collaborating with departments to ensure accurate claim submissions and appeals.
Developed and implemented software solutions to meet customer needs. Researched and implemented different solutions to optimize company workflow. Worked closely with the go-to-market and engineering teams to identify and implement solutions that enhanced workflow efficiency for both the company and its clients.
At Taskforce BPO, my responsibilities included posting payments and identifying discrepancies within healthcare billing accounts, ensuring accurate and timely payment processing. Promoted to Client Lead, overseeing a team of over 30 members, with a focus on training, performance improvement, and the implementation of strategic client initiatives aimed at meeting target billing goals. Regularly communicated with upper management and shareholders, providing detailed reports on team performance and operational enhancements.
Additionally, the role encompassed handling denied and rejected claims, coordinating with insurance companies to appeal and resolve claims. Experience extended across a range of healthcare providers, including:
· Hospitals
· Emergency Rooms (ERs)
· Allergy Clinics
Worked with both major and smaller insurance companies and utilized various medical billing software systems to optimize claims processing and resolution.