Dynamic and detail-oriented professional seeking a full-time position that fosters ongoing learning and growth. Recognized for rapid adaptability to new challenges and the ability to navigate unfamiliar situations while thriving in fast-paced environments. Expertise includes customer service, medical administration, billing, and behavioral health support, complemented by experience in management, patient care, and insurance processes. Proven billing professional with a strong track record in financial management and billing accuracy, dedicated to enhancing procedures and efficiently resolving discrepancies while collaborating effectively with teams to achieve results.
Overview
4
4
years of professional experience
Work History
Billing Specialist
Clinical Administrative Solutions / Whole Mind Psychiatry
Pleasant Grove, UT
12.2024 - Current
Conduct benefit investigations for patient mental health coverage.
Complete prior authorizations for TMS, Spravato, and ADHD testing.
Manage credentialing with insurance providers.
Post payments, process appeals for denied claims, and handle mental health medical coding.
Ensure HIPAA compliance and maintain confidentiality of patient records.
Utilize AdvancedMD software for billing, payment posting, and claim management.
Collaborated with healthcare providers to resolve billing discrepancies efficiently.
Processed and reconciled patient billing statements to ensure accurate financial records.
Utilized electronic health record systems for tracking and managing patient accounts.
Trained new staff on billing processes and software usage to maintain consistency.
Monitored claim submissions to insurance companies, ensuring timely payments and follow-up actions.
Researched and resolved billing discrepancies to enable accurate billing.
Identified, researched, and resolved billing variances to maintain system accuracy and currency.
Worked with multiple departments to check proper billing information.
Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
Strengthened client relationships through effective communication regarding billing issues and concerns.
Collaborated with healthcare team to ensure billing codes were accurately applied, optimizing reimbursement from insurance companies.
Assisted in transition to electronic billing, reducing paper waste and improving operational efficiency.
Maintained up-to-date knowledge of billing regulations and compliance requirements, ensuring adherence to legal standards.
Identified opportunities for process improvement, leading to more streamlined billing operation.
Fostered strong relationships with healthcare providers and insurance representatives to facilitate efficient resolution of billing issues.
Negotiated with insurance companies to resolve disputed claims, securing rightful payments.
Used data entry skills to accurately document and input statements.
Receptionist
Whole Mind Psychiatry
Pleasant Grove, UT
03.2024 - 12.2024
Scheduled patient appointments and processed payments.
Entered insurance information and verified coverage for behavioral health services.
Strengthened knowledge of HIPAA and patient privacy practices.
Managed front desk operations, ensuring seamless patient check-in and appointment scheduling.
Coordinated communication between patients and healthcare providers to enhance service delivery.
Maintained accurate patient records using electronic health record (EHR) systems for efficient data retrieval.
Addressed patient inquiries and concerns with professionalism, fostering a welcoming environment.
Organized and maintained office supplies, contributing to a well-functioning reception area.
Trained new staff on reception procedures and company policies for consistent service quality.
Implemented best practices in confidentiality management to safeguard patient information effectively.
Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
Confirmed appointments, communicated with clients, and updated client records.
Answered phone promptly and directed incoming calls to correct offices.
Kept reception area clean and neat to give visitors positive first impression.
Handled cash transactions and maintained sales and payments records accurately.
Responded to inquiries from callers seeking information.
Answered central telephone system and directed calls accordingly.
Supported office efficiency by performing clerical tasks such as data entry, photocopying, scanning, and faxing documents.
Corresponded with clients through email, telephone, or postal mail.
Demonstrated strong multitasking abilities while managing numerous tasks simultaneously under tight deadlines.
Handled sensitive information with discretion while maintaining strict confidentiality standards.
Provided administrative support to staff members by handling correspondence, filing documents, and managing office supplies inventory.
Behavioral Technician
ABS Kids
Provo, UT
12.2023 - 03.2024
Provided one-on-one therapy to children with autism.
Gained experience in managing meltdowns and challenging behaviors.
Maintained accurate medical charting and progress tracking.
Developed patience, empathy, and effective communication skills.
Implemented individualized treatment plans to address behavioral challenges in children.
Monitored and recorded progress towards therapy goals, ensuring data accuracy and consistency.
Adapted therapeutic activities based on client responses, enhancing engagement and efficacy.
Provided support during family sessions, facilitating communication between parents and therapists.
Developed educational materials to promote understanding of behavioral techniques among caregivers.
Reduced problem behaviors by teaching clients appropriate coping strategies and replacement behaviors.
Promoted a safe and nurturing environment for clients, ensuring their comfort and well-being throughout therapy sessions.
Adapted therapy materials based on individual needs, ensuring accessibility for all clients regardless of ability level or learning style.
Provided one-on-one support and guidance for clients in various settings, promoting generalization of learned skills.
Enhanced communication skills for clients with autism spectrum disorder through the use of visual supports and social stories.
Supported family members in understanding ABA principles, empowering them to effectively implement strategies at home.
Store Manager
Fiiz Drinks
Orem, UT
04.2021 - 12.2023
Managed opening/closing procedures and shift scheduling.
Supervised and motivated team members to meet goals.
Handled cash, payment processing, and inventory control.
Ensured excellent guest satisfaction and adherence to food safety standards.
Oversaw daily operations, ensuring optimal store performance and customer satisfaction.
Trained and mentored staff, fostering a collaborative team environment to enhance service quality.
Developed and implemented inventory management processes to minimize waste and improve stock accuracy.
Maintained compliance with health and safety regulations, promoting a safe shopping experience for customers.
Managed inventory control, cash control, and store opening and closing procedures.
Addressed customer complaints promptly and professionally, resolving issues to maintain positive relationships with clientele.
Managed store employees successfully in fast-paced environment through proactive communication and positive feedback.
Assisted with hiring, training and mentoring new staff members.
Mentored new hires during their onboarding process, ensuring they were well-equipped to excel in their roles from day one.
Set effective store schedules based on forecasted customer levels, individual employee knowledge, and service requirements.
Education
Bachelor of Science - Psychology
Utah Valley University
Orem, UT
12-2026
High School Diploma -
Timpanogos High School
Orem, UT
01.2023
Skills
Administrative & Medical Billing: Insurance verification, prior authorization, claims appeals, payment posting, mental health coding, credentialing, AdvancedMD software
Customer Service & Management: Team leadership, delegating tasks, shift coordination, conflict resolution, guest satisfaction