Summary
Overview
Work History
Education
Skills
Additional Information
Certification
Timeline
References
Generic

Heather L. Mathews

Houston,TX

Summary

Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information.

Overview

16
16
years of professional experience
1
1
Certification

Work History

Charge Entry Specialist

EyeSouth Partners
05.2023 - Current
  • Processed charge entries with high accuracy, ensuring timely billing and compliance with regulations.
  • Reviewed and validated insurance claims against patient records for completeness and correctness.
  • Coordinated with healthcare providers to resolve discrepancies in charge submissions efficiently.
  • Trained new staff on charge entry protocols, enhancing team productivity and knowledge retention.
  • Implemented quality control measures to minimize errors in data entry and improve operational workflows.
  • Utilized electronic health record (EHR) systems for accurate documentation of patient charges and services rendered.

Front Desk Lead

Coastal Eye Associates
09.2020 - 05.2023
  • Maintained accuracy, completeness, and security for medical records and health information.
  • Communicated with insurance companies to research and resolved coding discrepancies.
  • Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
  • Verified accuracy of patient information in medical records.
  • Assisted in training new staff on medical record processing and filing procedures.
  • Posted exam, diagnostics and surgeries for 5+ physicians.
  • Proficient in coding Retina, Cornea, Oculoplastic and Glaucoma specialties.
  • Handled prior authorizations for all retinal injections and laser procedures.
  • Worked closely with state caseworkers and managed exams, surgeries and optical authorizations for Department of Assistive and Rehabilitative Services of Texas across all five office locations.
  • Enrolls and manages savings programs such as Good Days and Eylea4U for all retinal patients. As well as uploading EOBs and pulling payment for each patient.
  • Trained new staff on correct procedures, compliance requirements, and performance strategies.

Medical Office Specialist

Premier Vision Care
02.2010 - 09.2020
  • Provided prompt, polite and professional in-person and telephone customer service.
  • Assisted with medical coding and billing tasks.
  • Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
  • Registered patients and completed associated paperwork for accurate records.
  • Processed medical insurance claims and payments.
  • Processed insurance payments and maintained accurate documentation of payments.
  • Identified and resolved discrepancies between patient information and claims data.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
  • Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.

Education

Medical Billing, Certificate of Technology

San Jacinto College District
Pasadena, TX
12.2024

Associate of Science -

San Jacinto Community College
Pasadena, TX
05.2008

Skills

  • A/P and A/R Expertise
  • 10-Key Data Entry
  • Work Coordination
  • HIPAA Compliance

Additional Information

Two time Visionary Victor (10/2021 & 02/2023)

Certification


  • Certified Patient Service Specialist, BSM Consulting
  • Ophthalmic Scribe Certification, Jcahpo

Timeline

Charge Entry Specialist

EyeSouth Partners
05.2023 - Current

Front Desk Lead

Coastal Eye Associates
09.2020 - 05.2023

Medical Office Specialist

Premier Vision Care
02.2010 - 09.2020

Medical Billing, Certificate of Technology

San Jacinto College District

Associate of Science -

San Jacinto Community College

References

Amanda Knight COPC, CPSS

Revenue Cycle Management - Billing Specialist

EyeSouth Partners

(832) 221-3970

amanda.knight@eyesouthpartners.com

 


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