Frieda Arline
Rochester,NY
Summary
Skilled in insurance and medical billing, with a proven track record at Workfit Medical for enhancing successful reimbursements through insurance verification and appeals management. Demonstrates exceptional customer service, ensuring smooth billing processes and efficient payment posting. Achieved significant improvements in cash flow management, showcasing strong data entry skills and HIPAA compliance.
Overview
18
18
years of professional experience
Work History
Medical Biller/ Payment Poster
Workfit Medical
08.2021 - Current
- 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.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
- Liaised between patients, insurance companies, and billing office.
- Delivered timely and accurate charge submissions.
Medical Referral Specialist
Trillium Healthcare
05.2017 - 07.2021
- Scheduled appointments with specialists on behalf of clients.
- Verified insurance benefits and eligibility for [Type] procedures before referring clients.
- Obtained prior authorization for medical procedures.
- Managed a high volume of referrals daily while consistently meeting deadlines for processing requests and scheduling appointments.
- Provided empathetic support to patients during challenging medical situations, easing anxiety around the referral process.
Medical Biller
Anthony Jordan
06.2016 - 04.2017
- 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.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
Medical Biller
Strong Memorial Hospital, University Of Rochester
01.2014 - 03.2016
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Filed and updated patient information and medical records.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
Business Office Payment Poster
St Elizabeth Hospital, Hartford St
04.2007 - 02.2011
- Contributed to enhanced cash flow management by analyzing aged accounts receivable reports and taking appropriate action as needed.
- Enhanced accuracy of payment postings by conducting thorough audits, ensuring correct allocation to accounts.
- Maintained compliance with industry regulations by adhering to established guidelines during the payment posting process.
- Proactively addressed potential bottlenecks in workflow by redistributing tasks among team members during peak periods of activity, optimizing efficiency in the business office environment.
- Streamlined payment posting process by implementing efficient data entry methods, resulting in reduced errors and increased productivity.
Education
Associate of Applied Science - Medical Billing And Coding
Everest Institute
Rochester, NY03-2013
Skills
- Insurance billing
- Medical billing
- Electronic claims
- HIPAA compliance
- Insurance verification
- Customer service
- Accounts receivable
- Insurance claims processing
- Data entry
- CMS-1500 billing forms
- Medicare and medicaid process
- Payment posting
Timeline
Medical Biller/ Payment Poster
Workfit Medical
08.2021 - Current
Medical Referral Specialist
Trillium Healthcare
05.2017 - 07.2021
Medical Biller
Anthony Jordan
06.2016 - 04.2017
Medical Biller
Strong Memorial Hospital, University Of Rochester
01.2014 - 03.2016
Business Office Payment Poster
St Elizabeth Hospital, Hartford St
04.2007 - 02.2011
Associate of Applied Science - Medical Billing And Coding
Everest Institute
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