Fredricka Epps
Claros Solution
Melissa,TX
5
years of professional experience
Driven medical biller specializing in insurance claims and denial management. Skilled in data entry and verifying patient eligibility, with a strong focus on ensuring compliance with industry regulations to minimize errors and optimize billing processes.
Work History
Medical Biller
7 Months- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
- Collaborated with healthcare providers, ensuring accurate documentation for seamless billing operations.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Maintained up-to-date knowledge of billing software and healthcare regulations, contributing to department's compliance and efficiency.
Medical Biller
2 Years- Processed patient claims efficiently, ensuring accurate coding and billing according to industry standards.
- Reviewed insurance policies to verify coverage and eligibility for medical services rendered.
- Resolved discrepancies in billing statements through effective communication with healthcare providers and insurance companies.
- Utilized electronic health record (EHR) systems to maintain up-to-date patient information and billing records.
- Verified insurance of patients to determine eligibility.
- Filed and updated patient information and medical records.
Medical Biller
2 Years 11 Months- Collaborated with medical staff to clarify treatment details and enhance accuracy of submitted claims.
- Assisted in training new team members on billing procedures and software functionalities for improved efficiency.
- Monitored claim status, identifying trends in denials to implement corrective actions proactively.
- Adapted quickly to changing regulations impacting billing processes, ensuring compliance and minimizing errors.
- Utilized billing software to manage accounts receivable and resolve discrepancies.
Education
Associate of Science
Timeline
Medical Biller
Claros Solution
01.2026 - 08.2026Read More
Medical Biller
Blitz Medical
01.2024 - 01.2026Read More
Medical Biller
Direct Orthopedic Care
02.2021 - 01.2024Read More
Collin County Community College
Associate of Science
Read More