GINGER CRAWFORD
Quinlan
Summary
Motivated and experienced Medical Biller with a strong background in health operations management, billing, and coding. Proficient in analyzing and validating patient information, diagnoses, and billing data. Demonstrates exceptional leadership skills and excels in efficiently processing high volumes of patient information to achieve revenue generation goals.
Overview
11
11
years of professional experience
Work History
Baker
Self Employed
01.2023 - Current
- Baker for vending events
- Homemade items
Billing and Collections
Hunt Regional Patient Services
10.2023 - 12.2023
- Processed secondary claims by dispatching them via Certified mail.
- Refined systems for Medicaid adjustments.
- Revised dated Excel workbooks.
- Successfully managed responsibilities in a short-term position.
Medicare Billing Specialist
Orthopedic Specialist
03.2014 - 03.2015
- Billing personnel and insurance carriers
- While handling patient information
- Post all Medicare payments EOB’s
- Inhibiting claim payment for corrective action
- Claims/Re-submittal of claims to insurance carriers
- Investigated and resolved denials and rejections within standard billing cycle time frame
Healthcare Billing Specialist
Caris Diagnostic
09.2016 - 03.2021
- Entered patient demographics
- Researched and replied to insurance, patient, and internal customer inquiries
- Processing of billing for all partnered insurance companies including 3rd party and Workers Comp
Medical Billing Clerk
MDM Medical Management and Billing
01.2016 - 06.2018
- Maintained strong knowledge of current industry regulations and guidelines, ensuring compliance within all aspects of the medical billing process.
- Conducted regular audits of patient accounts, identifying inaccuracies or discrepancies that required correction or adjustment.
- Collaborated with healthcare providers to ensure proper documentation was submitted for accurate claim processing, reducing denials due to incomplete or incorrect information.
- Managed high volume of daily billing tasks, prioritizing work efficiently in order to meet tight deadlines without compromising accuracy.
- Navigated complex billing situations, working with healthcare providers, insurance companies, and patients to resolve issues in a timely manner.
- Handled sensitive patient information with utmost discretion, maintaining strict confidentiality in accordance with HIPAA regulations.
Education
Certificate - Medical Terminology
Richland College
Medical Assistance - undefined
PCI
Dallas, TX10.2003
Skills
- Verbal and Written Communication
- Insurance Claims & Processing
- Report Compiling
- ICD-8
- Claims Review
- Client Services
- Microsoft Word
- Balance Reconciliation
- Medical Billing
- Information Requests
Timeline
Billing and Collections
Hunt Regional Patient Services
10.2023 - 12.2023
Baker
Self Employed
01.2023 - Current
Healthcare Billing Specialist
Caris Diagnostic
09.2016 - 03.2021
Medical Billing Clerk
MDM Medical Management and Billing
01.2016 - 06.2018
Medicare Billing Specialist
Orthopedic Specialist
03.2014 - 03.2015
Certificate - Medical Terminology
Richland College
Medical Assistance - undefined
PCI
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