Heidi Keal
Medical Billing Specialist/ Payment Specialist
Sacramento,CA
Summary
Enthusiastic Payment Poster experienced with reporting batch totals and identifying incomplete payments. Consistently observes data confidentiality and privacy rules in workflows and promotes dynamic communication skills. Achieves high levels of accuracy in data entry and account management.
Overview
10
10
years of professional experience
4
4
years of post-secondary education
Work History
Payment Poster
Pbs West
Reno, NV
06.2018 - Current
- Accurately posted payments and adjustments both electronically and manually.
- Managed large volumes of data efficiently and with great care on daily basis.
- Identified overpayments and processed refunds for insurance carriers and patients.
- Processed payments that had been received from insurance companies and Medicare.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Reconciled accounts receivable ledger to verify payments and resolve variances.
- Generated monthly accounts receivable reports to submit developments for management review.
Medical Billing Specialist
PC Inc
Anchorage, AK
11.2014 - 05.2018
- Collected payments and applied to patient accounts.
- Liaised between patients, insurance companies, and billing office.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Identified and resolved patient billing and payment issues.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Posted and adjusted payments from insurance companies.
Medical Billing Specialist
Alaska Billing Services
Anchorage, AK
08.2013 - 11.2014
- Liaised between patients, insurance companies, and billing office.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Precisely evaluated and verified benefits and eligibility.
- Identified and resolved patient billing and payment issues.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Maintained and updated collections tracking spreadsheet to help organize payment information.
- Managed collections claims for unpaid bills against estates of debtors.
- Posted and adjusted payments from insurance companies.
Education
High School Diploma -
Dimond High School
Anchorage, AK 09.1988 - 05.1992
Skills
HIPAA regulation observance
Timeline
Payment Poster
Pbs West
06.2018 - Current
Medical Billing Specialist
PC Inc
11.2014 - 05.2018
Medical Billing Specialist
Alaska Billing Services
08.2013 - 11.2014
High School Diploma -
Dimond High School
09.1988 - 05.1992
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