Summary
Overview
Work History
Education
Skills
Timeline
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Heather Prince

Escondido,CA

Summary

Hardworking and passionate job seeker with strong organizational skills eager to secure Medical Billing position. Ready to help team achieve company goals.

Overview

16
16
years of professional experience

Work History

Medical Billing Specialist

Exagen Inc.
02.2019 - 07.2024
  • Worked full financial class of Medicare: Straight Medicare and RR Medicare Claims.
  • Worked payer rejected claims.
  • Worked payer denials and resubmitted corrected claims.
  • Submitted redeterminations and appeals on Noridian Portal.
  • Ran reports within Harp to make sure claims were corrected before reaching Timely Filing.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Monitored changes in payer requirements, adjusting billing practices accordingly to minimize disruptions in revenue cycle.

Medical Billing Specialist

Chartperfect
11.2017 - 08.2018
  • Posted charges and insured correct diagnosis codes and modifiers were used.
  • Processed claims.
  • Worked both payer and clearinghouse rejected claims.
  • Worked payer denials and resubmitted corrected claims.
  • Preparation of month end reports.
  • Handled Client inquires via email and internal messaging.
  • Handled patient phone calls and return of voicemails.
  • Patient A/R and other special assignments.
  • Posted and adjusted payments from insurance companies.
  • Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.

Buyer

Welk Resort Group
01.2009 - 04.2017
  • Created FF&E Budgets for new builds and renovation projects.
  • Coordinated expedition and ensure all FF&E product is ordered an on schedule for install.
  • Arrange delivery times/locations for all product ordered.
  • Oversee liquidation and installs of projects.
  • Reconciled invoices and delivers issued against purchase orders.
  • Audited project accounting reports.
  • Performed accounts payable and receivables.
  • Sourced new competitively priced suppliers.
  • Reviewed, analyzed and reconciled inventory counts and controls.
  • Managed database for existing, new and potential suppliers.
  • Assessment of suppliers manufacturing capabilities and selection of potential products.
  • Developed strong relationships with suppliers to secure favorable pricing terms and conditions for the company's benefit.

Medical Biller II

Practice Development Strategies
10.2009 - 01.2013
  • Verified insurance of patients to determine eligibility.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Filed and updated patient information and medical records.
  • Collected payments and applied to patient accounts.
  • Posted payments and collections on regular basis.
  • Reviewed outstanding balances owed by patients; initiated collection actions if necessary resulting in improved account recovery efforts.
  • Sent month-end reports to providers with payment details.

Education

No Degree - Medical Billing And Insurance Coding

UEI College- San Diego
San Diego, CA

Skills

  • Proficiency in Quadax (PAS & Harp)
  • Proficiency in LIMS
  • Medicare Knowledge
  • HIPAA Compliance
  • Claim submission
  • Insurance Verification
  • Patient Billing
  • Denial Management
  • ICD-10

Timeline

Medical Billing Specialist

Exagen Inc.
02.2019 - 07.2024

Medical Billing Specialist

Chartperfect
11.2017 - 08.2018

Medical Biller II

Practice Development Strategies
10.2009 - 01.2013

Buyer

Welk Resort Group
01.2009 - 04.2017

No Degree - Medical Billing And Insurance Coding

UEI College- San Diego

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Heather Prince