Glenda Roberts
Walker,LA
Summary
Proven Medical Billing Specialist with a track record of enhancing revenue collection by diligently following up on unpaid claims at Computer Management. Expert in HIPAA compliance and medical coding, demonstrating critical thinking and teamwork to resolve billing issues and improve customer satisfaction. Achieved significant reductions in billing errors through meticulous review and accurate coding.
Overview
36
36
years of professional experience
Work History
Medical Billing Specialist
Computer Management
01.1991 - 03.2024
- Communicated effectively and extensively with other departments to resolve claims issues.
- Located errors and promptly refiled rejected claims.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Identified and resolved patient billing and payment issues.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Filed and updated patient information and medical records.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Coordinated with other departments to address any discrepancies or concerns related to charge capture or data entry accuracy.
- Streamlined billing processes by implementing efficient workflows and utilizing advanced software tools.
- Reduced errors in medical billing by meticulously reviewing patient records and ensuring accurate coding.
- Contributed to overall office organization by maintaining up-to-date records of all billed services and payments received.
Pizza Delivery Driver
Pizza Place
08.1988 - 03.2021
- Improved customer satisfaction by consistently delivering orders on time and with accuracy.
- Verified orders prior to completing deliveries to avoid customer complaints.
- Maintained a clean driving record, ensuring safe and responsible transportation of food items.
- Managed cash and credit card transactions accurately, minimizing discrepancies in daily sales reports.
- Processed payments by accepting cash, checks and credit and debit card payments.
- Interacted professionally with customers in person or by phone and acted with sense of urgency to drive positive customer experience.
- Collaborated with team members and contributed to team efforts by supporting other workstations during shift.
- Utilized strong organizational skills to efficiently manage multiple deliveries per shift without compromising quality or timeliness of service.
- Enhanced efficiency in delivery routes by utilizing GPS technology and local knowledge of the area.
- Assisted in expediting orders during peak times by aiding kitchen staff with food preparation when needed.
- Provided exceptional customer service through courteous interactions and professional communication while handling transactions.
- Kept delivery vehicle clean and neat to maintain company's professional reputation.
- Collaborated with restaurant staff to streamline order processes and improve overall efficiency during busy periods.
- Followed delivery procedures such as remaining alert and aware of surroundings, learning delivery area and checking orders for quality and accuracy to promote food and service quality.
- Maintained a professional appearance, ensuring that personal grooming and uniform standards were in compliance with company policies.
- Planned optimal routes to deliver multiple orders per trip and achieve strong performance ratings.
- Anticipated customers' questions and complaints and skillfully handled concerns.
- Assisted new drivers with training and orientation procedures, offering guidance on best practices for efficient deliveries and reliable customer service.
- Met promised delivery times consistently by using GPS software to spot and avoid traffic delays.
Education
Diploma - Accounting,business Machines
02.1975
High School Diploma - General Studies
05.1974
Skills
- HIPAA Compliance
- Payment posting
- Claim submission
- Insurance Verification
- Patient Billing
- CPT Knowledge
- ICD-10 Proficiency
- Medicare and Medicaid process
- Denial Management
- Medical Coding Expertise
- Insurance Billing
- Data Entry
- Medical Billing
- Medicaid and Medicare Knowledge
- ICD-10
- Insurance Claims
- Medical Terminology
- Insurance claims processing
- Bill payment
- Accounts Payable
- Collections Management
- Billing and Collection Procedures
- Claims review
- ICD-10 Coding
- Customer Service
- Critical Thinking
- Electronic Claims
- Teamwork and Collaboration
- CMS-1500 Billing Forms
- Medical coding knowledge
- Electronic Health Record Software
- Accounts Receivable
- Medical claims submission
- Patient Collections
- Commercial and Private Insurance
- Work Prioritization
- Multitasking and Organization
- Account Reconciliation
- Knowledgeable in Software
- HIPAA Compliance Certification
- Patient account analysis
- Medical terminology expert
- Operations Support
- Records Management
- Account Management
- Clerical Support
- Collection calls
- Regulatory Compliance
- Software use
- Claims Processing
- Worker's Compensation Knowledge
- Accounts receivable management
- Proficiency in Software
- Medical record security
- Data Analysis
- Records Maintenance
- ICD-9
- Data security procedures
- Customer Contact
- Customer Relations
- Payment Collection
- Billing and Invoicing
- Correspondence
- Customer service support
- Error Revision
- Paperwork and documentation
- Work Coordination
- Billing Data Verification
- Itemized Statement Preparation
- Invoice Documentation Management
- Billing statement review
- Decision-Making
- Team Collaboration
- Statement Distribution
- Records Research
- Discrepancy Resolution
- Account updating
- Financial Reporting
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Additional Information
I was also manager at Pizza Place until 2014
Timeline
Medical Billing Specialist - Computer Management
01.1991 - 03.2024
Pizza Delivery Driver - Pizza Place
08.1988 - 03.2021
Spencer Draughn - Diploma , Accounting,business Machines
Walker High School - High School Diploma , General Studies
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