Organized professional with background in medical billing and coding. Skilled in managing patient accounts, preparing invoices and maintaining records with accuracy. Strengths include strong knowledge of billing software, understanding of insurance procedures, and ability to ensure smooth office operations. Demonstrated impact by improving efficiency through theimplementation of streamlined billing systems at previous workplace.
Overview
19
19
years of professional experience
Work History
Medical Billing Assistant and Receiptionist
Arthritis & Rheumatology Of NOVA
Vienna, VA
02.2021 - Current
Processed and submitted claims to insurance companies electronically or by paper.
Investigated denials from insurance carriers and resubmitted claims as needed.
Entered data into electronic billing system.
Maintained accurate records of claims processing in compliance with HIPAA regulations.
Answered inquiries from patients regarding their bills and payment plans.
Assisted patients in understanding the details of their billings and payments.
Utilized various software programs such as Microsoft Office Suite, Electronic Medical Records, and Practice Management Systems.
Reviewed patient accounts for accuracy prior to submission of claims to payers.
Performed follow-up on unpaid or rejected claims with insurance providers.
Reviewed Explanation of Benefits statements from insurers for accuracy against charges submitted to ensure proper reimbursement was received.
Prepared reports on billing activities for management review.
Submitted appeals to insurance companies when necessary.
Worked closely with other departments such as clinical staff, administrative staff, and finance department personnel to resolve any issues related to billing.
Communicated with insurance representatives to complete claims processing or resolve problem claims.
Applied HIPAA privacy and security regulations while handling patient information.
Contacted insurance providers to verify insurance information and obtain billing authorization.
Organized information for past-due accounts and transferred to collection agency.
Checked claims coding for accuracy with ICD-10 standards.
Scheduler and Billing Assitant
Medics USA Medical center
Ashburn, VA
10.2015 - 02.2021
Created, updated, and monitored project schedules for multiple departments.
Ensured compliance with established policies and procedures related to scheduling activities.
Scheduled and confirmed appointments.
Maintained positive working relationship with fellow staff and management.
Performed accounting or financial analysis.
Reviewed and approved vendor invoices.
Assisted organizational efforts by filing, entering data and answering phones.
Handled incoming calls and directed callers to appropriate department or employee.
Payment Poster and Scheduler
American Executive Health System
Annadale, VA
05.2011 - 10.2015
Posted payments for insurance companies, including Medicare and Medicaid, by accurately entering data into the system.
Processed incoming payments from patients and insurance companies in a timely manner.
Balanced daily cash postings with deposits to ensure accuracy of information entered into the system.
Reviewed denials received from payers and communicated findings with billing staff.
Assisted in resolving payment issues, such as rejections or delayed payments due to incorrect coding or missing information.
Provided customer service support to patients regarding inquiries related to account status and payment history.
Collaborated with various departments within the organization to ensure efficient workflow processes related to payment posting activities.
Updated patient accounts with current information after verifying accuracy of data entered into the system.
Followed up on pending claims that have not been paid by third-party insurers within specified timeframes.
Ensured adherence to HIPAA guidelines when handling confidential information.
Posted and verified entries to logs, spreadsheets or reports to update department records and accounting systems.
Monitored customer account details to minimize or rectify non-payments, delayed payments and other irregularities.
Receptionist and Billing Assitant
Potomac Medical Center
Falls Church, VA
08.2005 - 05.2011
Greeted visitors and provided them with assistance.
Answered incoming calls, took messages, and transferred calls to appropriate departments or personnel.
Scheduled appointments for clients, customers, and other visitors.
Provided excellent customer service at all times while interacting with both internal and external customers.
Scheduled and confirmed appointments.
Answered and directed incoming calls using multi-line telephone system.
Greeted and directed visitors to appropriate departments or individuals, ensuring a welcoming environment.
Education
Some College (No Degree) - Medical Records Administration
NOVA
Annandale, VA
Skills
Collections Management
Payment posting
Patient Billing
HIPAA Compliance
Insurance Verification
Claim submission
Records Management
Multitasking and Organization
Claims review
Billing and Collection Procedures
HIPAA Compliance Certification
Customer Service
Claims Processing
Billing codes
Patient account analysis
Worker's Compensation Knowledge
Medical claims submission
Medicare and Medicaid process
Accounts Receivable
Accounts receivable management
Medical coding understanding
Languages
English
Professional
Vietnamese
Professional
References
References available upon request.
Timeline
Medical Billing Assistant and Receiptionist
Arthritis & Rheumatology Of NOVA
02.2021 - Current
Scheduler and Billing Assitant
Medics USA Medical center
10.2015 - 02.2021
Payment Poster and Scheduler
American Executive Health System
05.2011 - 10.2015
Receptionist and Billing Assitant
Potomac Medical Center
08.2005 - 05.2011
Some College (No Degree) - Medical Records Administration
Medical Billing and Collections Specialist at American Arthritis And Rheumatology AssociatesMedical Billing and Collections Specialist at American Arthritis And Rheumatology Associates
Lead Clinical Research Coordinator (Drug Trials) at Arizona Arthritis And Rheumatology ResearchLead Clinical Research Coordinator (Drug Trials) at Arizona Arthritis And Rheumatology Research