Hailey byers
BROWNWOOD,Texas
Summary
Medical billing professional with deep expertise in managing patient billing and insurance claims. Strong background in coding, account reconciliation, and compliance with healthcare regulations. Known for collaborating effectively with teams and adapting to changing needs to achieve optimal results. Reliable and detail-focused, ensuring accurate and timely processing of financial information.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Medical Billing Specialist
Penn Highlands
03.2023 - Current
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Filed and updated patient information and medical records.
- Identified and resolved patient billing and payment issues.
- Precisely evaluated and verified benefits and eligibility.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Served as a subject matter expert on medical billing matters, providing guidance to colleagues on complex cases or unique situations.
- Streamlined billing processes by implementing efficient workflows and utilizing advanced software tools.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
- Used data entry skills to accurately document and input statements.
- Liaised between patients, insurance companies, and billing office.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Collected payments and applied to patient accounts.
- Monitored changes in payer requirements, adjusting billing practices accordingly to minimize disruptions in the revenue cycle.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Efficiently processed refunds or adjustments for patients when necessary, ensuring accuracy and compliance with company policies.
- Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
Medical Office Manager
Penn Wellness Group
05.2020 - 03.2023
- Addressed and remedied all patient or team member issues.
- Maintained strict confidentiality of sensitive patient information, adhering to HIPAA guidelines and safeguarding against potential data breaches.
- Enhanced patient care by establishing strong relationships with medical professionals, including physicians, nurses, and technicians.
- Increased revenue by optimizing billing processes and ensuring timely collection of payments from both patients and insurance companies.
- Implemented new processes for managing patient flow, minimizing wait times while maintaining high-quality care standards throughout the practice.
- Oversaw appointment scheduling and itinerary coordination for both clients and personnel.
- Assessed processes and procedures, complying with OSHA, and HIPAA regulations.
- Promoted accuracy in coding practices, staying current on ICD-10 changes and industry updates related to medical billing requirements.
Reservations Manager
SORTechnology
09.2018 - 02.2020
- Built lasting relationships with vendors, securing competitive rates for clients’ travel needs.
- Researched cost-saving travel options to minimize expenses for clients.
- Engaged in professional development to stay current on global travel trends.
- Enhanced reservation workflow leading to better client interactions and increased bookings.
- Coordinated multiple client accounts, ensuring timely responses.
- Provided efficient and friendly customer service.
- Managed and motivated employees to be productive and engaged in work.
Education
Certificate - Medical Billing And Coding
Indiana University, Purdue University Indianapolis
Indianapolis, IN12-2024
Associate of Science - Human Services
Excelsior College
Albany, NY06-2018
Skills
- HIPAA compliance
- Payment posting
- Claim submission
- Insurance verification
- Denial management
- CPT knowledge
- Medicare and medicaid process
- Medical terminology
- Electronic health record software
- Knowledgeable in Meditech, Kareo, AdvancedMD, eCW
Certification
- Certified Billing and Coding Specialist (CBCS) - National Healthcareer Association.
Timeline
Medical Billing Specialist
Penn Highlands
03.2023 - Current
Medical Office Manager
Penn Wellness Group
05.2020 - 03.2023
Reservations Manager
SORTechnology
09.2018 - 02.2020
Certificate - Medical Billing And Coding
Indiana University, Purdue University Indianapolis
Associate of Science - Human Services
Excelsior College
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