Heather Baggett
Shippensburg,PA
Summary
Skilled in reconciling accounts, identifying discrepancies, and resolving billing issues promptly. Strong attention to detail and numerical accuracy, with a commitment to maintaining confidentiality and upholding the highest standards of integrity in financial transactions.
Organized Medical Biller thoroughly versed in medical coding and HIPAA requirements. Personable professional with several years of hands-on experience claiming refunds, reviewing claims, and maintaining billing reports. Accommodating and helpful team player proficient in job-related billing software.
Committed and results-oriented professional willing to go above and beyond to contribute to team objectives. Highly skilled in collections with aptitude for addressing past-due accounts and cultivating satisfaction.
Results driven medical biller with several years of hands-on experience in account management, revenue generation and medical billing and coding. Accomplished in developing strategies to improve workflows and processes and actualizing procedures to enhance revenue generation. Demonstrated leadership skills guide teams towards success, optimize performance and sustain organizational success.
Overview
2024
2024
years of professional experience
Work History
Medical Billing Specialist
Select Medical
Camp Hill, Pennsylvania
08.2016 - 08.2023
- Performed quality assurance audits on submitted claims ensuring that they met industry standards.
- Worked closely with clinical staff to ensure accurate coding practices were followed.
- Verified the accuracy of claim data prior to submission to insurance carriers.
- Generated monthly invoices for patients based on services provided according to established fee schedules.
- Maintained detailed records of all billing activities including denials, adjustments, and payments received.
- Provided customer service support to patients who had questions about their bills or payments due.
- Assisted with the reconciliation of accounts receivable ledgers at month-end close process.
- Monitored aging accounts receivable balances ensuring timely resolution of outstanding balances.
- Researched complex billing issues involving multiple providers or services rendered over a period of time.
- Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment.
- Initiated collection efforts on unpaid accounts by contacting insurance companies or patients directly via phone or mail.
- Processed credit card payments from patients in accordance with office policy.
- Resolved discrepancies between insurance companies and patients regarding payment of bills.
- Updated patient accounts with information obtained from internal departments or external sources.
- Conducted research on insurance policies, procedures, and regulations to ensure compliance with all applicable laws.
- Adhered to HIPAA regulations when handling confidential patient information.
- Reviewed patient records for accuracy and completeness of information in medical billing system.
- Prepared billing statements for patients, ensuring correct diagnostic coding.
- Contacted patients for unpaid claims for HMO, PPO and private accounts and performed friendly follow-ups to ensure proper payments were made according to contracts.
- Analyzed and interpreted patient medical and surgical records to determine billable services.
General Manager
Kfc A&w
Fishkill, New York
01.2003 - 08.2016
- Conducted regular meetings with senior management team to review progress against established objectives.
- Conducted market research to identify trends, opportunities, and threats in the industry.
- Provided guidance and support to subordinate managers in order to foster an atmosphere of cooperation throughout the organization.
Program Manager
Community cares shelter
Shippensburg, Pennsylvania
- Conducted regular meetings with team members to review progress and address any issues or concerns arising from the program execution process.
- Developed project plans, identified risks, set objectives and monitored progress towards completion.
- Provided guidance and support to team members in order to achieve targets within defined deadlines.
Education
High School Diploma -
Beacon High School
Beacon, NY06-2006
Skills
- Bill payment
- software applications proficiency
- Files and records management
- Quality-oriented team player
- Typing
- Data entry
- Customer support
- Medical terminology
- Collections management
- Claim submission
- Medical coding expertise
- CPT knowledge
- Patient billing
- Generally accepted accounting principles (GAAP)
- Medicare and medicaid process
- Payment posting
- HIPAA compliance
- Disability claims process
- Insurance verification
- Accounts payable
- Information requests
- Balance reconciliation
- Claims review
- Medisoft
- Medical claims submission
- Verbal and written communication
- Medical billing
- Claims processing
- Patient account analysis
Timeline
Medical Billing Specialist
Select Medical
08.2016 - 08.2023
General Manager
Kfc A&w
01.2003 - 08.2016
Program Manager
Community cares shelter
High School Diploma -
Beacon High School