Gina Wilkinson
Billing Specialist
Atlanta,GA
Summary
Reliable and competent Medical Billing professional with exceptional data entry and customer service skills.
Overview
10
10
years of professional experience
Work History
Accounts Receivable Specialist
Zotec Partners
Remote, GA
08.2021 - Current
- Reviewed accounts on a daily basis to assess aging and pursue collection of funds.
- Researched CPT and ICD-10 coding discrepancies for compliance and reimbursement accuracy.
- Identified reasons behind denied claims and worked closely with insurance carriers to promote resolutions.
Fraud Investigator
Staffing Solutions Organization
Remote, GA
11.2020 - 12.2022
- Conducted prompt and thorough investigations on COVID-19 rental assistance applications..
- Collaborated with team members to discuss fraud trends and brainstorm methods to combat this type of crime.
- Examined financial statements & written documents that could be used as evidence for fraud cases.
Billing Supervisor / Credentialing Specialist
Carewell Urgent Care
Quincy, MA
03.2016 - 02.2020
- Managed large volume of medical claims on daily basis.
- Oversaw medical coding, charge entry, claims, and other day-to-day operations of billing department.
- Conducted primary source verifications such as background checks and board certifications for providers.
- Enrolled providers in Medicaid, Medicare and private insurance plans.
Medicare Member Service Rep.
Harvard Pilgrim Health Care
Quincy, MA
08.2013 - 03.2016
- Acted as a primary resource for member and provider inquires.
- Maintained up-to-date knowledge of guidelines regarding benefits and eligibility
- Strictly followed all federal and state guidelines for release of information in regards to HIPPA.
Education
High School Diploma -
Blue Hills Regional Technical School
Canton, MASkills
Medical claims submission
Payment posting
Proficiency in Epic , Athena Health, ECW and more
Accounts receivable management
Medical terminology
Timeline
Accounts Receivable Specialist
Zotec Partners
08.2021 - Current
Fraud Investigator
Staffing Solutions Organization
11.2020 - 12.2022
Billing Supervisor / Credentialing Specialist
Carewell Urgent Care
03.2016 - 02.2020
Medicare Member Service Rep.
Harvard Pilgrim Health Care
08.2013 - 03.2016
High School Diploma -
Blue Hills Regional Technical School