Helena Baker

Summary

Experienced in healthcare revenue cycle with 25 years of expertise as a medical biller. Refined skills and deep understanding of industry intricacies. Proven track record of maximizing revenue and minimizing billing errors. Comprehensive knowledge of medical coding, insurance claims, and reimbursement processes. Dedicated to delivering accurate and efficient results, committed to optimizing financial outcomes for healthcare organizations.

Overview

years of professional experience

Work History

Senior Claims Specialist

Swedish Medical Group

11.2011 - Current

Maintain standardized workflows and productivity, communicate inaccuracies for resolution and corrective action
Perform daily charge capture, coding errors, registration errors, and claim edit errors, review of chart documentation
Patient services IE discussing balances on accounts, finding and correcting billing errors, discussing payment options, contacting insurance companies regarding denials, assisting patients in applying for Financial Assistance Programs
Monitor charge process and entries for accuracy and timelines
Assist with training of new employees
Assist Coding and Insurance Follow Up Teams with Claim error resolution

Insurance Billing Supervisor

Genoa Healthcare

02.2008 - 09.2010

Supervised 10+ Employees
All aspects of Insurance Billing/Follow up (Pharmacy), Insurance Cash Posting as well as Collections

Skills

ICD-10 crosswalk analysis
Experience with Multiple Web Portals
Proficient in EPIC EHR Software
Insurance claims resolution
Navigation and information extraction
Detail-Oriented Workflow Management

Healthcare Compliance Management
Skilled in Microsoft Office Applications
Employee Training Facilitation
Remote Team Engagement
Skilled in Microsoft Teams Communication Tools

Languages

German

Native or Bilingual

Croatian